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NPI Code Detail

MEDICARE: ERIN LASTER

MEDICARE: ERIN LASTER
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
1106E00000XAssistant Behavior AnalystLABA0031NV
2106S00000XBehavior Technician
3103K00000XBehavior Analyst

General Provider Information

NPI Number : 1356874663
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN LASTER
Provider Business Mailing Address
First Line : 3057 BRAMBLE DR
Second Line :
City : RENO
State : NV
Zip : 89509-6902
Country : US
Telephone Number : 775-813-5123
Fax Number :
Provider Business Practice Location Address
First Line : 3785 BAKER LN STE 201
Second Line :
City : RENO
State : NV
Zip : 89509-5454
Country : US
Telephone Number : 775-813-5123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2017
Last Update Date : 01/24/2023

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Directions to “ ERIN LASTER ” Practice Location

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