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1154688596
LARA LAVINE
WEST SACRAMENTO, CA
NPI
1154688596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: 1-06-3031)
Enumeration Date
2012-04-23
Last Update Date
2012-04-23
Business Address
-- LARA LAVINE MA, BCBA
2945 RAMCO ST STE 220
WEST SACRAMENTO, CA 95691-5992
Phone number: 916-374-0800
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Mailing Address
-- LARA LAVINE MA, BCBA
19019 VENTURA BLVD
TARZANA, CA 91356-3253
Phone number: 818-345-2345
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