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General NPI Number Information
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NPI Number | 1629936117
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Entity Type | Individual
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Provider Name | LILLIAN LORRAINE EAST STOCKS MS, BCBA
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Gender | Female
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 1701 CENTER ST
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City | APEX
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State | NC
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Zip | 27502-7026
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Country | US
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Telephone | 984-246-9080
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Fax |
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Provider Business Mailing Address
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Address Line | 190 N SPOT RD
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City | POWELLS POINT
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State | NC
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Zip | 27966-9721
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Country | US
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Telephone | 252-207-7121
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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 | 1-26-87056
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License Number State | NC
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