Organization
BEHAVIOR AND LEARNING SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGIS LAZOR (OWNER/DIRECTOR)
(724) 331-9499
Entity
Organization
Contact information
Practice address
390 LAKEWOOD RD, GREENSBURG, PA 15601-9769
(724) 331-9499
(412) 405-8567
Mailing address
390 LAKEWOOD RD, GREENSBURG, PA 15601-9769
(724) 331-9499
(412) 405-8567
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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