Individual
LARISA BAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 N MAIN ST STE 110, FAIRPORT, NY 14450-1581
(585) 377-6590
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
795843249
NY
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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