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NPI Code Detail

MEDICARE: TONYA LEANN LAMBERT DELP PHD, LBA, BCBA

MEDICARE:   TONYA LEANN LAMBERT DELP  PHD, LBA, BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst0133000504VA
2103TC0700XClinical Psychologist0810005242VA

General Provider Information

NPI Number : 1407239189
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONYA LEANN LAMBERT DELP PHD, LBA, BCBA
Provider Business Mailing Address
First Line : 3500 REMSON CT
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22901-3508
Country : US
Telephone Number : 434-515-0741
Fax Number : 434-282-2180
Provider Business Practice Location Address
First Line : 3500 REMSON CT
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22901-3508
Country : US
Telephone Number : 434-515-0741
Fax Number : 434-282-2180
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2015
Last Update Date : 04/23/2021

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