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General NPI Number Information
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NPI Number | 1710404439
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Entity Type | Individual
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Provider Name | LISA M STEDMAN-FALLS PH.D., B.C.B.A
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Gender | Female
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 05/28/2020
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Provider Practice Location Address
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Address Line | 325 INVERNESS DR S
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City | ENGLEWOOD
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State | CO
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Zip | 80112-6012
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Country | US
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Telephone | 720-580-1898
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Fax |
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Provider Business Mailing Address
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Address Line | 1755 S BEELER ST UNIT 2G
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City | DENVER
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State | CO
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Zip | 80247-2877
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Country | US
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Telephone | 740-260-4535
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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 |
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License Number State |
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