Provider Information

Last Updated : Aug 22 2025 11:07 AM

Lara LaVine




City
Fresno
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Qualified Autism Svc Provider
Last Name
LaVine
First Name
Lara
Address
5168 N. Blythe Ave. Ste 102
State
CA
Zip Code
93722
Phone
(559)255-5900
Hours
Mon - Fri 8:00 AM - 6:00 PM
Gender
F
Title
BCBA
Physician ID
307262
Language 1
Spanish
Section Number
A
County
FRESNO
Accepting New Patient
Yes
PPG NAME
HEALTH NET DIRECT FFS MEDI-CAL
PPG ID
MHDML
NPI Number
1154688596
License ID
BCB63031
Email
card.credentialing@centerforautism.com
Board Certified
No
Office Language
Spanish

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