Individual
ALICE M. LIZARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1860 W MAIN ST, LEAGUE CITY, TX 77573-3549
(832) 632-2177
(281) 724-1257
Mailing address
2913 OLD CHOCOLATE BAYOU RD STE A, PEARLAND, TX 77584-8996
(832) 632-2177
(281) 724-1257
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-199506
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-22-199506
RBT
TX
Enumeration date
10/10/2022
Last updated
10/10/2022
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