IndividualActive
Lissandra Lara
NPI 1629599295 · Behavior Technician · Miami, FL
Provider details
- NPI number
- 1629599295
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
20121 Sw 115th Ave
Miami, FL 33189-1022
Phone: (786) 908-6264
Approximate (ZIP-level) locationGet directions
Mailing address
20121 Sw 115th Ave
Miami, FL 33189-1022
Registry dates
- Enumerated
- 2017-07-04
- Last updated
- 2017-07-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.