Healthcare Provider Details

I. General information

NPI: 1124210562
Provider Name (Legal Business Name): LINDSAY RENEE SESSOR MA, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2007
Last Update Date: 09/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

366 WHEATFIELD DR
DELAWARE OH
43015-4270
US

IV. Provider business mailing address

PO BOX 915
MARYSVILLE OH
43040-0915
US

V. Phone/Fax

Practice location:
  • Phone: 614-296-3657
  • Fax: 937-642-4470
Mailing address:
  • Phone:
  • Fax: 937-642-4470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: