NPI 1023766995

Nicollette Lee Lazarides

Practitioner Behavior Analyst Brookfield, WI

Practice location

Address: 4125 N 124th St STE a, Brookfield, WI 53005-1837
Phone: (920) 857-9041
Mailing address: 1575 Allouez Ave, Green Bay, WI 54311-5639

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 513-140 (WI)

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Registry record

NPI: 1023766995
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Mar 2022
Record last updated: 16 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.