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Individual

DANIEL LASSACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7310 W MCNAB RD, TAMARAC, FL 33321-5332
(561) 316-6132
Mailing address
1873 SALERNO CIR, WESTON, FL 33327-1910
(786) 499-7652

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
06/06/2017
Last updated
06/06/2017
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