Individual
LISSETTE LAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 NE 120TH ST, BISCAYNE PARK, FL 33161-6314
(305) 439-3811
Mailing address
804 NE 120TH ST, BISCAYNE PARK, FL 33161-6314
(305) 439-3811
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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