| NPI | 1740611607 |
|---|---|
| Former Name | LARA MARIE FONTAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-56735) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 16-24332) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2025-11-12 |