NPI 1083360077

Esperanza Marlen Lara

Practitioner Behavior Technician Springfield, MO

Practice location

Address: 3048 S Clifton Ave, Springfield, MO 65807-5957
Phone: (417) 818-5784
Mailing address: 1133 S Glenn Ave, Springfield, MO 65802-5109

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT222081387669 (MO)

Other Behavior Technician providers in Missouri →

Registry record

NPI: 1083360077
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Feb 2022
Record last updated: 28 Feb 2022

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.