Individual
MRS. LANA SCHLACTUS-BAVARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED. BCBA
Contact information
Practice address
7202 AVENUE X, BROOKLYN, NY 11234-6632
(718) 645-7765
Mailing address
7202 AVENUE X, BROOKLYN, NY 11234-6632
(718) 645-7765
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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