MEDICARE: CLAIRE HAUSER LBA, QSP

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
1	103K00000X	Behavior Analyst	LBA0433	MN

General Provider Information

NPI Number	:	1275006207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAIRE HAUSER LBA, QSP

Provider Business Mailing Address
First Line	:	12070 43RD ST NE STE 200
Second Line	:
City	:	SAINT MICHAEL
State	:	MN
Zip	:	55376-8427
Country	:	US
Telephone Number	:	320-493-0022
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 DOCTORS PARK
Second Line	:
City	:	SAINT CLOUD
State	:	MN
Zip	:	56303-1207
Country	:	US
Telephone Number	:	763-238-8173
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2019
Last Update Date	:	05/20/2026

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