Individual
ANDREA LACZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
4210 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2580
(610) 739-7645
Mailing address
6466 RUTHERFORD DR, MACUNGIE, PA 18062-8037
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH000218
PA
Other
Enumeration date
06/28/2014
Last updated
06/28/2014
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