Most Relevant Information
Provider Data
| NPI Number: | 1003469537 |
| Provider Name: | KELLY LENG LAU |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-19-92207 |
Most Important Dates
| Enumeration Date: | 07/23/2019 |
| Last Updated: | 07/23/2019 |
Provider Practice Location
1000 NW 65TH ST STE 201
FORT LAUDERDALE
FL
333091113
Practice Location Phone/Fax
| Phone: | 8558326727 |
| Fax: |
Provider Mailing Location
12850 W STATE ROAD 84 # LOTE18-7
DAVIE
FL
333253396
Provider Mailing Phone/Fax
| Phone: | 4053852873 |
| Fax: |