Individual
MOGANAPRIYA LAKSHMIPATHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6344 E BROADWAY RD, MESA, AZ 85206-1634
(480) 256-8569
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-63499
—
Other
Enumeration date
09/02/2021
Last updated
10/27/2023
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