Individual
CONNOR SEORAS LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 SNEATH LN STE 200, SAN BRUNO, CA 94066-2349
(916) 382-4447
Mailing address
2374 25TH AVE, SAN FRANCISCO, CA 94116-2337
(415) 225-4386
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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