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NPI Code Detail

MEDICARE: DAISY LIPTON

MEDICARE: DAISY LIPTON
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1225994650
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAISY LIPTON
Provider Business Mailing Address
First Line : 3600 ROUTE 66 STE 150
Second Line :
City : NEPTUNE
State : NJ
Zip : 07753-2645
Country : US
Telephone Number : 410-609-6357
Fax Number : 410-609-6357
Provider Business Practice Location Address
First Line : 9711 WASHINGTONIAN BLVD STE 550
Second Line :
City : GAITHERSBURG
State : MD
Zip : 20878-5789
Country : US
Telephone Number : 410-609-6357
Fax Number : 410-609-6357
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2025
Last Update Date : 12/30/2025

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Directions to “ DAISY LIPTON ” Practice Location

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