ANTHONY LARA

HOPKINSVILLE, KY
NPI1407654734
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence:   RBT-25-415087)
Enumeration Date2025-03-04
Last Update Date2025-03-04
Business Address
ANTHONY LARA
100 FORBES DR
HOPKINSVILLE, KY 42240-7200
Phone number: 270-215-5945
Mailing Address
ANTHONY LARA
PO BOX 931142
ATLANTA, GA 31193-1142
Phone number:
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