Lazaro Carlos Alfonso

NPI #1891515755 in Lehigh Acres, Florida

Provider Information

NPI Number: 1891515755
Entity Type: Individual
Name: Lazaro Carlos Alfonso
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 15, 2024
Last Updated: Oct 15, 2024

Practice Location

Address: 647 NIMITZ BLVD
City: Lehigh Acres
State: Florida
ZIP Code: 33974-5716
Phone: (786) 763-8557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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