Marissa Alexzandria Lara

NPI #1003534363 in Sun City, California

Provider Information

NPI Number: 1003534363
Entity Type: Individual
Name: Marissa Alexzandria Lara
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 22, 2022
Last Updated: Aug 22, 2022

Practice Location

Address: 27990 SHERMAN RD
City: Sun City
State: California
ZIP Code: 92585-9155
Phone: (951) 309-9135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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