Jack Lazenby

NPI #1073298014 in Tustin, California

Provider Information

NPI Number: 1073298014
Entity Type: Individual
Name: Jack Lazenby
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jun 19, 2023
Last Updated: Jun 19, 2023

Practice Location

Address: 315 CENTENNIAL WAY
City: Tustin
State: California
ZIP Code: 92780-3714
Phone: (949) 250-1101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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