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NPI Code Detail

MEDICARE: LETTIE KATHERINE ALEXANDER B.C.B.A

MEDICARE: LETTIE KATHERINE ALEXANDER B.C.B.A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystL-088LA

General Provider Information

NPI Number : 1033516984
Entity Type Code : Individual
Provider Name (Legal Business Name) : LETTIE KATHERINE ALEXANDER B.C.B.A
Provider Business Mailing Address
First Line : 560 MENARD RD
Second Line :
City : SULPHUR
State : LA
Zip : 70665-8183
Country : US
Telephone Number : 337-563-1854
Fax Number :
Provider Business Practice Location Address
First Line : 4205 RYAN ST
Second Line : BOX 91895
City : LAKE CHARLES
State : LA
Zip : 70609-1895
Country : US
Telephone Number : 337-562-4246
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2014
Last Update Date : 11/20/2014

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