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General NPI Number Information
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NPI Number | 1285150631
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Entity Type | Individual
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Provider Name | LINDSEY PAIGE JEAN KERN BCABA, LABA
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Gender | Female
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Dates
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Enumeration Date | 08/17/2017
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Last Update Date | 05/16/2022
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Provider Practice Location Address
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Address Line | 200 HOOVER AVE UNIT 1413
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City | LAS VEGAS
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State | NV
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Zip | 89101-6880
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Country | US
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Telephone | 702-350-1875
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 28921
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City | LAS VEGAS
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State | NV
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Zip | 89126-2921
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Country | US
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Telephone | 702-350-1875
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BACB406206
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License Number State | NV
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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 | 0-19-10620
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License Number State | NV
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