Individual
MS. PRISCILLA VANESSA LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1649 61ST ST STE 301, BROOKLYN, NY 11204-2746
(866) 584-1970
Mailing address
4826 59TH ST APT 3, WOODSIDE, NY 11377-5560
(347) 272-6886
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
03/06/2026
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