Individual
MR. LAGRAND EVAN ANDREWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
265 SE LENARD RD. APARTMENT 307, PORT ST. LUCIE, FL 34952
(772) 284-1873
Mailing address
1850 SW FOUNTAINVIEW BLVD STE 215, PORT SAINT LUCIE, FL 34986-4532
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
AL
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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