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NPI Code Detail

MEDICARE: LINDEY ANGELLE DUPRE MA, BCBA

MEDICARE: LINDEY ANGELLE DUPRE MA, BCBA
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-751LA
2103K00000XBehavior Analyst3335NC

General Provider Information

NPI Number : 1063195899
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDEY ANGELLE DUPRE MA, BCBA
Provider Business Mailing Address
First Line : PO BOX 749
Second Line :
City : BELMONT
State : NC
Zip : 28012-0749
Country : US
Telephone Number : 704-869-2088
Fax Number :
Provider Business Practice Location Address
First Line : 131 W INNES ST
Second Line :
City : SALISBURY
State : NC
Zip : 28144-4338
Country : US
Telephone Number : 980-305-8780
Fax Number : 980-892-0404
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2023
Last Update Date : 01/09/2026

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