Individual
KATHERIN LAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5296 PETERS CREEK RD, ROANOKE, VA 24019-3808
(540) 215-0535
Mailing address
5296 PETERS CREEK RD, ROANOKE, VA 24019-3808
(540) 215-0535
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133003529
VA
Other
Enumeration date
08/04/2014
Last updated
01/23/2025
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