Lara Fontan

NPI 1740611607 - Behavioral Analyst - 103K00000X

NPI Details
NPI 1740611607
Gender Female
Enumeration Date 12/03/2013
Last Updated 12/03/2013
Entity Type Individual
Active Over 2 years ago
Practice Location
8001 SW 36TH ST
SUITE 9
DAVIE FL, 33328-1915, US
Phone (954) 577-7790
Fax (954) 577-7780
Business Location
8001 SW 36TH ST
SUITE 9
DAVIE FL, 33328-1915, US
Phone (954) 577-7790
Fax (954) 577-7780
Toxanomy
Taxonomy Code 103K00000X
License State
License Number
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According to our database, Lara Fontan NPI is 1740611607, taxonomy code is 103K00000X Lara Fontan physically located at 8001 Sw 36th St, Davie FL, 33328-1915. NPI Number Lara Fontan has the Individual type.

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1740611607 NPI number is provided on an as is basis without warranty of any kind. 1740611607 is maintained by the National Plan & Provider Enumeration System. The contents of Lara Fontan are for informational purposes only.