Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003334483 |
---|---|
Provider Name | Lonna Quiram |
First Address | Sioux Falls, SD 57103-4019 |
Second Address | Brookings, SD 57006-1852 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2017 |
Last Update Date | 05/01/2021 |