Individual
BRIANA LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
Mailing address
14707 EAGLES CROSSING DR, ORLANDO, FL 32837-6924
(630) 550-2484
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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