Vanessa Lara

NPI #1508526195 in Countryside, Illinois

Provider Information

NPI Number: 1508526195
Entity Type: Individual
Name: Vanessa Lara
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 22, 2021
Last Updated: Dec 22, 2021

Practice Location

Address: 5705 WILLOW SPRINGS RD
City: Countryside
State: Illinois
ZIP Code: 60525-3478
Phone: (312) 965-2997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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