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Individual

ALISA LANZETTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1751 ROUTE 17 A, FLORIDA, NY 10921
(845) 651-2251
Mailing address
PO BOX 195, FLORIDA, NY 10921-0195

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
174400000X
Specialist
NY

Other

Enumeration date
07/17/2012
Last updated
01/04/2013
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