Thomas Lara
NPI #1093434250 in Clarksville, Tennessee
Provider Information
- NPI Number
- 1093434250
- Entity Type
- Individual
- Name
- Thomas Lara
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Aug 23, 2022
- Last Updated
- Aug 23, 2022
Practice Location
- Address
- 941 PROFESSIONAL PARK DR
- City
- Clarksville
- State
- Tennessee
- ZIP Code
- 37040-5137
- Phone
- (615) 376-0034
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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