Individual
MS. LANNA LA ROSE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 SOMER STREET, NEW YORK, NY 11233
(347) 495-0022
Mailing address
123 SOMERS ST, BROOKLYN, NY 11233-2909
(347) 495-0022
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
844261141
NY
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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