Individual
BRENDA ELIZABETH LAZZARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
351 W 1600 N APT C201, LOGAN, UT 84341-4019
(435) 363-6353
Mailing address
351 W 1600 N APT C201, LOGAN, UT 84341-4019
(435) 363-6353
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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