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NPI 1467336305

NPI 1467336305 : STARR CALDWELL EDD, S.ED,LBS1&2 : LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1467336305
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    Entity Type          |    Individual 
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    Provider Name        |    STARR CALDWELL EDD, S.ED,LBS1&2
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/04/2025
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    Last Update Date     |    09/23/2025
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Provider Practice Location Address
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    Address Line         |    302 E CARSON AVE FL 10 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89101-5905
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    Country              |    US
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    Telephone            |    725-705-7421
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    302 E CARSON AVE FL 10 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89101-5905
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    Country              |    US
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    Telephone            |    725-705-7421
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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        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    
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    License Number State |    NV
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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       |    
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    License Number State |    NV
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Taxonomy #3
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    NV
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Taxonomy #4
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    NV
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Taxonomy #5
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    NV
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Taxonomy #6
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    Taxonomy Code        |    103TP2701X
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    Taxonomy Name        |    Group Psychotherapy Psychologist
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    License Number       |    
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    License Number State |    NV
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Taxonomy #7
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    Taxonomy Code        |    225C00000X
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    Taxonomy Name        |    Rehabilitation Counselor
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    License Number       |    
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    License Number State |    NV
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Taxonomy #8
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    Taxonomy Code        |    251300000X
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    Taxonomy Name        |    Local Education Agency (LEA)
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    License Number       |    
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    License Number State |    NV
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Taxonomy #9
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    NV
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Taxonomy #10
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    Taxonomy Code        |    320900000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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    License Number       |    
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    License Number State |    NV
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Taxonomy #11
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    NV
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Taxonomy #12
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    NV
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Taxonomy #13
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    Taxonomy Code        |    261QM1300X
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    Taxonomy Name        |    Multi-Specialty Clinic/Center
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    License Number       |    
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    License Number State |    NV
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Taxonomy #14
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    Taxonomy Code        |    103TS0200X
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    Taxonomy Name        |    School Psychologist
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    License Number       |    
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    License Number State |    NV
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Taxonomy #15
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    Taxonomy Code        |    103TA0700X
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    Taxonomy Name        |    Adult Development & Aging Psychologist
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    License Number       |    
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    License Number State |    NV
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