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NPI Code Detail

MEDICARE: ANGELA LAWTON BCBA

MEDICARE:   ANGELA  LAWTON  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
1106S00000XBehavior TechnicianRBT-19-75360NV
2103K00000XBehavior Analyst1-20-46598NV

General Provider Information

NPI Number : 1679072854
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA LAWTON BCBA
Provider Business Mailing Address
First Line : 8989 OCEANSIDE SLOPES AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89178-7525
Country : US
Telephone Number : 702-493-0019
Fax Number :
Provider Business Practice Location Address
First Line : 408 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-2658
Country : US
Telephone Number : 702-502-8021
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2018
Last Update Date : 12/27/2020

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Directions to “ ANGELA LAWTON BCBA” Practice Location

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