JALISSA LAKE

TAMPA, FL
NPI1962991588
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2018-05-09
Last Update Date2025-08-07
Business Address
JALISSA LAKE
4940 NORTHDALE BLVD
TAMPA, FL 33624-1075
Phone number: 813-485-8444
Mailing Address
JALISSA LAKE
4940 NORTHDALE BLVD
TAMPA, FL 33624-1075
Phone number: 813-485-8444
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