Individual
MRS. CRYSTAL LAGOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10135 MONTAGUE ST, TAMPA, FL 33626-1857
(813) 401-2539
(813) 492-7330
Mailing address
4518 S MANHATTAN AVE, TAMPA, FL 33611-2306
(813) 835-4591
(813) 832-3427
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33026
FL
Other
Enumeration date
09/28/2009
Last updated
04/08/2025
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