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General NPI Number Information
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NPI Number | 1245102128
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Entity Type | Organization
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Legal Business Name | LOTZ OF LIVELY STEPS LLC
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 143 15TH ST APT 8
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City | NEW CUMBERLAND
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State | PA
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Zip | 17070-1100
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Country | US
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Telephone | 717-715-5007
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Fax |
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Provider Business Mailing Address
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Address Line | 143 15TH ST APT 8
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City | NEW CUMBERLAND
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State | PA
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Zip | 17070-1100
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Country | US
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Telephone | 717-715-5007
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | KYLE RICHARD LIVELY
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Credential | LBS
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Telephone | 717-715-5007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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