Individual
CRISTIAN LANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6807 W COMMERCIAL BLVD, LAUDERHILL, FL 33319-2116
(754) 444-4171
Mailing address
2315 NW 167TH ST APT 503, MIAMI GARDENS, FL 33056-4547
(305) 244-7539
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-23-14352
FL
106S00000X
Behavior Technician
RBT-19-83049
FL
Other
Enumeration date
06/02/2022
Last updated
03/04/2023
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