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Individual
DR. JESSICA MARIE LASCANO
Active
Individual
DR. JESSICA MARIE LASCANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APCC, BCBA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8762
CA
103K00000X
Behavior Analyst
Primary
1-21-56864
CA
103TS0200X
School Psychologist
3613
CA
Other
Enumeration date
04/13/2023
Last updated
11/08/2024
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