Lydia Sharvauna Dorman, CB61656413
Lydia Sharvauna Dorman, CB61656413 is a Behavior Technician in Port Orchard, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2025
Practice location Address checks out
1605 Woodridge Dr SEPort Orchard, WA 98366-3818
Phone: (360) 443-2399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence CB61656413 (WA) |
|---|
Record details
| NPI number | 1639977606 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CB61656413 |
| Sole proprietor | Yes |
| NPI enumerated | March 5, 2025 |
| Last updated in NPPES | March 5, 2025 |
| Certification date | March 5, 2025 |
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Ambrlyn Shannon Cooley
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