Lori Ruth Kholomyanskaya
NPI #1811688112 in Revere, Massachusetts
Provider Information
- NPI Number
- 1811688112
- Entity Type
- Individual
- Name
- Lori Ruth Kholomyanskaya
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- May 17, 2023
- Last Updated
- May 17, 2023
Practice Location
- Address
- 197 SHIRLEY AVE
- City
- Revere
- State
- Massachusetts
- ZIP Code
- 02151-3258
- Phone
- (781) 485-6709
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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