Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | VA |
NPI | 1134798432 |
---|---|
Provider Name | Lasia Chambers |
First Address | Deerfield Beach, FL 33441-1817 |
Second Address | Virginia Beach, VA 23452-7332 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2021 |
Last Update Date | 21/06/2021 |