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NPI 1942167283

NPI 1942167283 : CAROLYN NICOLE MULLIKIN BCBA, LBA : METAIRIE, LA

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General NPI Number Information
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    NPI Number           |    1942167283
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    Entity Type          |    Individual 
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    Provider Name        |    CAROLYN NICOLE MULLIKIN BCBA, LBA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/08/2026
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    Last Update Date     |    01/08/2026
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Provider Practice Location Address
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    Address Line         |    3013 27TH ST 
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    City                 |    METAIRIE
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    State                |    LA
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    Zip                  |    70002-6013
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    Country              |    US
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    Telephone            |    504-291-6200
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    700 SAINT PHILIP ST APT 403 
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    City                 |    NEW ORLEANS
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    State                |    LA
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    Zip                  |    70116-2765
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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       |    L-1064
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    License Number State |    LA
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