MS. Lori S Randolph, M.S.ED

NPI #1780939835 in Walden, New York

Provider Information

NPI Number: 1780939835
Entity Type: Individual
Name: MS. Lori S Randolph, M.S.ED
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: M.S.ED
Enumeration Date: Jul 16, 2012
Last Updated: Jul 16, 2012

Practice Location

Address: 12 EVERGREEN LN
Address 2: SUITE 1
City: Walden
State: New York
ZIP Code: 12586-1662
Phone: (718) 502-5298

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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