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NPI 1619888146

NPI 1619888146 : WONDERLAND ABA CENTER LLC : LANDER, WY

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General NPI Number Information
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    NPI Number           |    1619888146
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    Entity Type          |    Organization 
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    Legal Business Name  |    WONDERLAND ABA CENTER LLC 
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Dates
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    Enumeration Date     |    09/14/2026
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    Last Update Date     |    09/14/2026
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Provider Practice Location Address
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    Address Line         |    201 N 4TH ST 
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    City                 |    LANDER
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    State                |    WY
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    Zip                  |    82520-2819
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    Country              |    US
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    Telephone            |    318-548-1189
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    273 HOUSTON RD 
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    City                 |    RUSTON
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    State                |    LA
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    Zip                  |    71270-1151
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. FRANCES GWIN LEBEAU 
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    Credential           |    
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    Telephone            |    318-548-1189
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    106E00000X
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    Taxonomy Name        |    Assistant Behavior Analyst
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    
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