Female

Mrs. Annastasia C. Laster BCBA

Behavioral Analyst in St Petersburg, FL(View on Map)

Full Name

Mrs. Annastasia Cassidy Laster BCBA

NPI Number

1629584982

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/22/2017

Specialties

(Taxonomies)

Code

103K00000X
106S00000X

Primary Taxonomy

Yes
No

Licenses

State

Colorado
Florida

License Number

17-32452
1-20-45614

Contact
Information

Purpose

Mailing
Location

Address

6705 38TH AVE N STE 102
6705 38TH AVE N STE 102

City

St Petersburg
St Petersburg

State

FL
FL

Postal Code

33710-1570
33710-1570

Country

US
US

Telephone Number

(813) 527-9638
(813) 527-9638

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/24/2024

Provider Address

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