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General NPI Number Information
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NPI Number | 1619866563
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Entity Type | Individual
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Provider Name | REGAN ELIZABETH APPLETON
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Gender | Female
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 17520 OLD JEFFERSON HWY
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City | PRAIRIEVILLE
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State | LA
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Zip | 70769-3903
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Country | US
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Telephone | 225-300-6710
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Fax |
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Provider Business Mailing Address
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Address Line | 19433 CAPE HART CT
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City | BATON ROUGE
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State | LA
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Zip | 70809-6734
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Country | US
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Telephone | 225-278-2404
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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-990
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License Number State | LA
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