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General NPI Number Information
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NPI Number | 1760223093
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Entity Type | Individual
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Provider Name | LAUREN WOOD BCABA, LABA
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Gender | Female
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 3000 PORTER ST
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City | RICHMOND
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State | VA
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Zip | 23225-3740
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Country | US
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Telephone | 757-903-9539
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Fax |
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Provider Business Mailing Address
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Address Line | 21430 TIMBERLAKE RD # 325
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City | LYNCHBURG
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State | VA
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Zip | 24502-7248
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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 |
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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 | BACB695417
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 0-23-14239
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License Number State | VA
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