NPI 1073390316
Danielle Larsen
Practice location
- Address
- 311 Boulevard of Americas STE 304, Lakewood, NJ 08701-4788
- Phone
- (732) 806-0091
- Mailing address
- 1299 Farnam St, Omaha, NE 68102-1880
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1073390316
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Sep 2023
- Record last updated
- 29 Aug 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.