Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-16-7555 | FL |
NPI | 1174060735 |
---|---|
Provider Name | Tsz Ching Lau |
First Address | Lakeland, FL 33806-2112 |
Second Address | Lakeland, FL 33803-4014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2017 |
Last Update Date | 20/01/2017 |