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NPI Code Detail

MEDICARE: LINDSAY MORGAN OTTE BCBA

MEDICARE: LINDSAY MORGAN OTTE BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystBACB385666NJ

General Provider Information

NPI Number : 1114683331
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY MORGAN OTTE BCBA
Provider Business Mailing Address
First Line : 250 WILSON ST
Second Line :
City : SADDLE BROOK
State : NJ
Zip : 07663-4927
Country : US
Telephone Number : 860-810-9155
Fax Number :
Provider Business Practice Location Address
First Line : 424 CENTRAL AVE STE 2
Second Line :
City : WESTFIELD
State : NJ
Zip : 07090-2561
Country : US
Telephone Number : 908-558-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2021
Last Update Date : 11/11/2021

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