Individual
LAURENCIA IRISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19046 BRUCE B DOWNS BLVD # 109, TAMPA, FL 33647-2434
(914) 513-1676
Mailing address
19046 BRUCE B DOWNS BLVD # 109, TAMPA, FL 33647-2434
(914) 513-1676
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/01/2017
Last updated
04/01/2017
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