Individual
TIFFANY LAZENBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 STONEFIELD CIR, MONCKS CORNER, SC 29461-6485
(704) 274-0445
Mailing address
405 STONEFIELD CIR, MONCKS CORNER, SC 29461-6485
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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