Individual
DONALD TIMOTHY THOMAS LASATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 E 13TH ST, MERCED, CA 95341-6211
(209) 381-6800
Mailing address
PO BOX 33568, SAN DIEGO, CA 92163-3568
(855) 223-7123
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
CA
106S00000X
Behavior Technician
Primary
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
04/01/2025
Last updated
06/08/2026
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