| NPI | 1942922653 |
|---|---|
| Former Name | AUDREY RAE LYON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: ID 1-24-77690) |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2026-01-22 |