Individual
ADRIA MARIA LAZO VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
611 SW MCCULLOUGH AVE, PORT SAINT LUCIE, FL 34953-3976
(772) 708-0053
Mailing address
611 SW MCCULLOUGH AVE, PORT SAINT LUCIE, FL 34953-3976
(772) 708-0053
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-186383
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-21-186383
BACB
—
Enumeration date
10/06/2021
Last updated
02/26/2026
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