Individual
LAURA C IGLESIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 E STATE HIGHWAY 114 STE 160, SOUTHLAKE, TX 76092-5261
(949) 401-3931
(888) 403-6922
Mailing address
4050 W METROPOLITAN DR STE 100, ORANGE, CA 92868-3502
(949) 401-3931
(888) 403-6922
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-14-9744
CA
103K00000X
Behavior Analyst
Primary
4278
TX
Other
Enumeration date
10/23/2014
Last updated
09/01/2021
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