Organization
BEHAVIOR PROFESSIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JADY LAZO (PRESIDENT)
(305) 833-3939
Entity
Organization
Contact information
Practice address
220 CRYSTAL GROVE BLVD, LUTZ, FL 33548-6460
(813) 400-2401
(813) 489-4870
Mailing address
220 CRYSTAL GROVE BLVD, LUTZ, FL 33548-6460
(813) 400-2401
(813) 489-4870
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/25/2024
Last updated
09/13/2025
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