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Individual

PEDRO LAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8207 SW 147TH CT, MIAMI, FL 33193-1564
(786) 287-4616
Mailing address
8207 SW 147TH CT, MIAMI, FL 33193-1564
(786) 287-4616

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-23-14632
FL
106S00000X
Behavior Technician
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104283400
FL
Enumeration date
11/07/2019
Last updated
07/08/2024
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