Individual
ANAYA MONEA LAZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8401 OHIO, MERRILLVILLE, IN 46410-6687
(219) 525-4572
Mailing address
10310 DOUBLETREE DR S, CROWN POINT, IN 46307-9366
(219) 781-5557
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-420153
IN
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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