Individual
AMBRIA LAZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4638 RIVERSTONE BLVD, MISSOURI CITY, TX 77459-6157
(409) 655-0120
Mailing address
4638 RIVERSTONE BLVD, MISSOURI CITY, TX 77459-6157
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-247452
TX
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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