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Lea Lasak

Behavior Analyst in Bingham Farms, MI. Individual provider (NPI-1).

NPI number1164082491
StatusActive
Last updated in NPPESJun 13, 2023

Details

NPI
1164082491
Entity type
Individual (NPI-1)
Name
Lea Lasak
Sex
Female
Sole proprietor
No
Enumeration date
Jun 18, 2019
Certification date
Jun 13, 2023
Last updated
Jun 13, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes
156F00000X Technician/Technologist––

Practice location

32100 Telegraph Rd Ste 205
Bingham Farms, MI 48025-2454

Phone 248-712-4266

Mailing address

32100 Telegraph Rd Ste 205
Bingham Farms, MI 48025-2454

Phone 248-712-4266

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