Individual
LAZYRIA SHANISE MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
366 E EUFAULA ST APT 3, OZARK, AL 36360-1985
(334) 596-9849
Mailing address
366 E EUFAULA ST APT 3, OZARK, AL 36360-1985
(334) 596-9849
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
10908248
AL
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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