Individual
JOHN JOSHUA LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5402 HOLLY RD, CORPUS CHRISTI, TX 78411-4645
(361) 400-0277
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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