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NPI 1497366454

NPI 1497366454 : VIRGINIA ANN LAJOIE RBT : SURPRISE, AZ

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General NPI Number Information
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    NPI Number           |    1497366454
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    Entity Type          |    Individual 
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    Provider Name        |    VIRGINIA ANN LAJOIE RBT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/13/2020
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    Last Update Date     |    09/16/2025
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Provider Practice Location Address
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    Address Line         |    14765 W MOUNTAIN VIEW BLVD STE 107 
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    City                 |    SURPRISE
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    State                |    AZ
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    Zip                  |    85374-2704
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    Country              |    US
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    Telephone            |    602-649-0245
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    Fax                  |    317-520-8200
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Provider Business Mailing Address
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    Address Line         |    14765 W MOUNTAIN VIEW BLVD STE 107 
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    City                 |    SURPRISE
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    State                |    AZ
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    Zip                  |    85374-2704
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    Country              |    US
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    Telephone            |    602-649-0245
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    RBT-20-120774
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    License Number State |    AZ
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