Lydia Sharvauna Dorman, CB 61656413

NPI #1639977606 in Port Orchard, Washington

Provider Information

NPI Number: 1639977606
Entity Type: Individual
Name: Lydia Sharvauna Dorman, CB 61656413
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: CB 61656413
Enumeration Date: Mar 5, 2025
Last Updated: Mar 5, 2025

Practice Location

Address: 1605 WOODRIDGE DR SE
City: Port Orchard
State: Washington
ZIP Code: 98366-3818
Phone: (360) 443-2399

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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