Individual
MRS. ANNASTASIA CASSIDY LASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6705 38TH AVE N STE 102, ST PETERSBURG, FL 33710-1570
(813) 527-9638
(813) 867-7288
Mailing address
6705 38TH AVE N STE 102, ST PETERSBURG, FL 33710-1570
(813) 527-9638
(813) 867-7288
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45614
FL
106S00000X
Behavior Technician
17-32452
CO
106S00000X
Behavior Technician
—
FL
Other
Enumeration date
12/22/2017
Last updated
05/24/2024
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