NPI 1174014773

Alyse Lazaro

Practitioner Behavior Technician Odessa, FL

Practice location

Address: 16414 Lake Church Dr, Odessa, FL 33556-2637
Phone: (813) 926-5454
Mailing address: 5703 SW 108th St, Ocala, FL 34476-9147

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1174014773
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 May 2018
Record last updated: 20 May 2018

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.