Individual
LANIE ELIZABETH MONGELLUZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SHARPE LN, DUNEDIN, FL 34698-9241
(727) 736-2211
Mailing address
3181 SHARPE LN, DUNEDIN, FL 34698-9241
(727) 771-3282
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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