(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003552050
Provider Name: LYDIA HALL BCBA
Entity Type: Individual
Taxonomy Code: 103K00000X
Specialty: Behavior Analyst
License Number: 1-22-59510
Most Important Dates
Enumeration Date: 05/11/2022
Last Updated: 05/11/2022
Provider Practice Location
601 NOBLE DR
FORT WAYNE
IN
468255544
Practice Location Phone/Fax
Phone: 2604209332
Fax:
Provider Mailing Location
12519 GREAT PINES CV
FORT WAYNE
IN
468459565
Provider Mailing Phone/Fax
Phone: 2602415796
Fax: