Individual
SELENA MARIA LAZZAROTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 OLYMPIC BLVD, WALNUT CREEK, CA 94596-5096
(925) 433-0990
Mailing address
2101 COURAGE DR, FAIRFIELD, CA 94533-6717
(707) 784-2080
(707) 425-4014
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
05/30/2025
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