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Individual

MELANIE LANTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8790 OLD SEA AVE, LAS VEGAS, NV 89148
(240) 520-4027
Mailing address
2701 N ROCKY POINT DR STE 650, TAMPA, FL 33607-5999
(800) 892-0640

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/01/2017
Last updated
05/22/2018
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