Provider Demographics
NPI:1255575775
Name:LOMBARD, ERIN ELIZABETH (BCBA)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:ELIZABETH
Last Name:LOMBARD
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:ELIZABETH
Other - Last Name:GANIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:445 E DUBLIN GRANVILLE RD
Mailing Address - Street 2:BUILDING H
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-3192
Mailing Address - Country:US
Mailing Address - Phone:614-436-7837
Mailing Address - Fax:614-436-8704
Practice Address - Street 1:445 E DUBLIN GRANVILLE RD
Practice Address - Street 2:BUILDING H
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-3192
Practice Address - Country:US
Practice Address - Phone:614-436-7837
Practice Address - Fax:614-436-8704
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-28
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-07-3798103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
1-07-3798OtherBACB CERTIFICATION