Most Relevant Information
Provider Data
NPI Number: | 1003334483 |
Provider Name: | LONNA QUIRAM BCBA |
Entity Type: | Individual |
Taxonomy Code: | 103K00000X |
Specialty: | Behavior Analyst |
License Number: |
Most Important Dates
Enumeration Date: | 09/06/2017 |
Last Updated: | 01/05/2021 |
Provider Practice Location
151 AIRPORT AVE
BROOKINGS
SD
570061852
Practice Location Phone/Fax
Phone: | 6059068801 |
Fax: | 6052713956 |
Provider Mailing Location
2804 E 26TH ST STE 1
SIOUX FALLS
SD
571034019
Provider Mailing Phone/Fax
Phone: | 6052712690 |
Fax: | 6052713956 |