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NPI Code Detail

MEDICARE: MS. WENDY LEIGH LAWHORNE MA, RBT

MEDICARE: MS. WENDY LEIGH LAWHORNE MA, RBT
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-23-263772FL

General Provider Information

NPI Number : 1992671259
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. WENDY LEIGH LAWHORNE MA, RBT
Provider Business Mailing Address
First Line : 766 VILLAGE CIR APT 123
Second Line :
City : VENICE
State : FL
Zip : 34292-2228
Country : US
Telephone Number : 941-899-1380
Fax Number :
Provider Business Practice Location Address
First Line : 6421 N FLORIDA AVE STE D-1458
Second Line :
City : TAMPA
State : FL
Zip : 33604-6007
Country : US
Telephone Number : 855-832-6727
Fax Number : 772-675-9100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2025
Last Update Date : 12/08/2025

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