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General NPI Number Information
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NPI Number | 1255997938
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Entity Type | Individual
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Provider Name | LENNON A COFFMAN BCABA
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Gender | Male
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Dates
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Enumeration Date | 05/17/2019
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 2721 CESAR CHAVEZ BLVD
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City | FRESNO
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State | CA
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Zip | 93721-2366
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Country | US
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Telephone | 559-477-5546
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Fax |
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Provider Business Mailing Address
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Address Line | 3995 MARCOLA RD
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City | SPRINGFIELD
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State | OR
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Zip | 97477-7948
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Country | US
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Telephone | 541-726-1465
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0-25-15973
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License Number State | CA
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