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General NPI Number Information
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NPI Number | 1396658985
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Entity Type | Individual
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Provider Name | CARLEE LYNN CANAL BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 1162 OLIVER RD STE 8
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City | MONROE
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State | LA
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Zip | 71201-5757
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Country | US
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Telephone | 318-523-1141
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Fax |
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Provider Business Mailing Address
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Address Line | 209 WOODMONT DR
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City | MONROE
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State | LA
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Zip | 71203-7307
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Country | US
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Telephone | 318-789-8908
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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 | L-1161
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License Number State | LA
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