Most Relevant Information
Provider Data
| NPI Number: | 1003507054 |
| Provider Name: | LAVI BY |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/18/2023 |
| Last Updated: | 05/18/2023 |
Provider Practice Location
5431 BOARDWALK WAY
RIVERBANK
CA
953679421
Practice Location Phone/Fax
| Phone: | 2096836669 |
| Fax: |
Provider Mailing Location
5431 BOARDWALK WAY
RIVERBANK
CA
953679421
Provider Mailing Phone/Fax
| Phone: | 2096836669 |
| Fax: |