Individual
ANAIRIS LAJARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1652 MERIDEN RD APT 23, WATERBURY, CT 06705-3922
(203) 721-2881
Mailing address
1652 MERIDEN RD APT 23, WATERBURY, CT 06705-3922
(203) 721-2881
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
659359
—
CT
Enumeration date
01/09/2023
Last updated
01/09/2023
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