Healthcare Provider Details

I. General information

NPI: 1003387499
Provider Name (Legal Business Name): JAMES EDWARD LAPAGLIA PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2018
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94 BAYNE COMOLLI RD
EAST CALAIS VT
05650-8089
US

IV. Provider business mailing address

94 BAYNE COMOLLI RD
EAST CALAIS VT
05650-8089
US

V. Phone/Fax

Practice location:
  • Phone: 802-456-8778
  • Fax:
Mailing address:
  • Phone: 802-456-8778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number146.0120474
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: