Individual
ANJARVIUS RASHARD LAVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HST
Contact information
Practice address
940 GA HIGHWAY 96, WARNER ROBINS, GA 31088-2584
(229) 815-5454
Mailing address
940 GA HIGHWAY 96, WARNER ROBINS, GA 31088-2584
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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