Most Relevant Information
Provider Data
| NPI Number: | 1003459504 |
| Provider Name: | EUGENIA LARA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/28/2019 |
| Last Updated: | 06/01/2021 |
Provider Practice Location
3719 CEDAR AVE
LYNWOOD
CA
902624828
Practice Location Phone/Fax
| Phone: | 4247046053 |
| Fax: |
Provider Mailing Location
500 FAIRWAY DR STE 102
DEERFIELD BCH
FL
334411817
Provider Mailing Phone/Fax
| Phone: | 8774182978 |
| Fax: |