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General NPI Number Information
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NPI Number | 1700714334
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Entity Type | Organization
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Legal Business Name | LSS BEHAVIOR THERAPY LLC
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 3270 N 2ND ST
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City | COEUR D ALENE
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State | ID
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Zip | 83815-3760
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Country | US
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Telephone | 971-322-7998
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Fax |
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Provider Business Mailing Address
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Address Line | 3270 N 2ND ST
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City | COEUR D ALENE
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State | ID
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Zip | 83815-3760
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Country | US
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Telephone | 971-322-7998
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Fax |
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Authorized Official
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Title or Position | OWNDER
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Name | SARAH R KIRK
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Credential | MED
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Telephone | 971-322-7998
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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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