Provider Demographics
NPI:1265862106
Name:LYONS-STOBER, EILEEN MARIE (PHD, BCBA)
Entity type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:MARIE
Last Name:LYONS-STOBER
Suffix:
Gender:F
Credentials:PHD, BCBA
Other - Prefix:DR
Other - First Name:EILEEN
Other - Middle Name:
Other - Last Name:LYONS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:683 PINE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-2176
Mailing Address - Country:US
Mailing Address - Phone:813-545-4400
Mailing Address - Fax:
Practice Address - Street 1:705 OAKLAND ST
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3647
Practice Address - Country:US
Practice Address - Phone:828-693-4223
Practice Address - Fax:844-590-5821
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-13
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1-19-35135103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst