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General NPI Number Information
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NPI Number | 1922504018
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Entity Type | Individual
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Provider Name | ANNA ELIZABETH MCLANE MA, BCBA
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Gender | Female
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Dates
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Enumeration Date | 04/05/2018
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 1011 MEADOWLANDS DR STE 1AND2
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City | SAINT PAUL
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State | MN
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Zip | 55127-2339
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Country | US
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Telephone | 320-894-1876
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Fax |
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Provider Business Mailing Address
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Address Line | 1905 S TOPAZ WAY STE 100
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City | MERIDIAN
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State | ID
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Zip | 83642-4112
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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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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