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NPI Code Detail

MEDICARE: MADELINE RILEY HALBUT PINTER BCBA, LBA

MEDICARE:   MADELINE RILEY HALBUT PINTER  BCBA, LBA
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 AnalystLBA-0038MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376133280
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELINE RILEY HALBUT PINTER BCBA, LBA
Provider Business Mailing Address
First Line : 100 N PACIFIC COAST HWY STE 1400
Second Line :
City : EL SEGUNDO
State : CA
Zip : 90245-5602
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3111 124TH AVE NW STE 150
Second Line :
City : COON RAPIDS
State : MN
Zip : 55433-4581
Country : US
Telephone Number : 651-356-9008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2021
Last Update Date : 01/02/2025

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