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General NPI Number Information
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NPI Number | 1497513709
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Entity Type | Individual
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Provider Name | NICHOLAS LAWSON M.S., BCBA, LBA
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Gender | Male
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 13934 N 59TH AVE STE 160
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City | GLENDALE
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State | AZ
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Zip | 85306-4168
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Country | US
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Telephone | 480-478-0444
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Fax | 602-854-7422
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Provider Business Mailing Address
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Address Line | 4801 E MCDOWELL RD # 175
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City | PHOENIX
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State | AZ
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Zip | 85008-7725
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Country | US
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Telephone | 480-478-0444
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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 | BEH-001247
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License Number State | AZ
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