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General NPI Number Information
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NPI Number | 1417833443
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Entity Type | Individual
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Provider Name | KARLEE ELIZABETH MCKERNAN BCBA
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Gender | Female
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 2033 N HIGHWAY 190 STE 10
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City | COVINGTON
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State | LA
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Zip | 70433-8985
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Country | US
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Telephone | 225-341-9330
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Fax |
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Provider Business Mailing Address
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Address Line | 1106 W 19TH AVE
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City | COVINGTON
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State | LA
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Zip | 70433-1923
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Country | US
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Telephone | 225-341-9330
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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-1007
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License Number State | LA
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