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General NPI Number Information
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NPI Number | 1417574377
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Entity Type | Individual
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Provider Name | LAUREN ANN LIPPHARDT BCBA
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Gender | Female
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Dates
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Enumeration Date | 06/26/2020
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | US DOMESTIC 27777 INKSTER RD., SUITE 100
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334
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Country | US
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Telephone | 855-772-8847
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Fax |
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Provider Business Mailing Address
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Address Line | US DOMESTIC 27777 INKSTER RD., SUITE 100
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334
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Country | US
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Telephone |
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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 | 1480
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-20-45375
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-20-45375
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License Number State |
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