Alyse Lazaro

NPI #1174014773 in Odessa, Florida

Provider Information

NPI Number: 1174014773
Entity Type: Individual
Name: Alyse Lazaro
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 20, 2018
Last Updated: May 20, 2018

Practice Location

Address: 16414 LAKE CHURCH DR
City: Odessa
State: Florida
ZIP Code: 33556-2637
Phone: (813) 926-5454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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