Provider Demographics
NPI:1417331620
Name:RORER, LYNETTE (BCBA)
Entity Type:Individual
Prefix:
First Name:LYNETTE
Middle Name:
Last Name:RORER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13113 FENCEROW RD
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76244-8105
Mailing Address - Country:US
Mailing Address - Phone:682-554-4158
Mailing Address - Fax:
Practice Address - Street 1:13113 FENCEROW RD
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76244-8105
Practice Address - Country:US
Practice Address - Phone:682-554-4158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-17
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst