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Individual
MELISSA ANN LARA
Active
Individual
MELISSA ANN LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, BCBA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH12293
FL
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/30/2010
Last updated
04/14/2016
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