NOKOMIS LAZENBERRY

Behavior Technician

Active Individual
NPI: 1154865038

Practice Address

2101 ARC DR
St Augustine, FL 32084

Phone: (904) 824-7249

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X No MH24067 (FL)
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1154865038 is the National Provider Identifier for NOKOMIS LAZENBERRY, a Behavior Technician provider located in St Augustine, FL. This NPI was enumerated on December 12, 2016.
NOKOMIS LAZENBERRY practices at 2101 ARC DR, St Augustine, FL 32084.

Quick Facts

NPI
1154865038
Type
Individual
Enumerated
Dec 12, 2016
Last Updated
Aug 2, 2024

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