Jack Lazenby

Behavior Analyst · Tustin, CA

Individual Active NPI

NPI number 1073298014

Practice location

315 Centennial Way
Tustin, CA 92780-3714
Phone
(949) 250-1101

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NPI record

NPI
1073298014
Entity type
Individual (Type 1)
Enumeration date
June 19, 2023
Last updated
June 19, 2023
Certified
June 17, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

About Jack Lazenby

Jack Lazenby is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 315 Centennial Way, Tustin, CA 92780-3714. The NPI number 1073298014 was assigned on June 19, 2023 and the record was last updated on June 19, 2023.

Frequently asked questions

What is the NPI number of Jack Lazenby?

The NPI number is 1073298014.

What is the phone number of Jack Lazenby?

The phone number listed for the practice location is (949) 250-1101.

Where is Jack Lazenby located?

315 Centennial Way, Tustin, CA 92780-3714.

What is the taxonomy code for Jack Lazenby?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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