Individual
LASONJA ADDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5037 50TH WAY, WEST PALM BEACH, FL 33409-7141
(561) 983-2840
Mailing address
5037 50TH WAY, WEST PALM BEACH, FL 33409-7141
(561) 983-2840
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
PBSPB032018LA
FL
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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