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NPI Code Detail

MEDICARE: GRACE ELEANOR LAMBERT MED, BCBA, LBS

MEDICARE: GRACE ELEANOR LAMBERT MED, BCBA, LBS
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 Analyst1-17-28129PA

General Provider Information

NPI Number : 1174026876
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE ELEANOR LAMBERT MED, BCBA, LBS
Provider Business Mailing Address
First Line : 301 E CITY AVE STE 210
Second Line :
City : BALA CYNWYD
State : PA
Zip : 19004-1734
Country : US
Telephone Number : 856-827-7630
Fax Number :
Provider Business Practice Location Address
First Line : 301 E CITY AVE STE 210
Second Line :
City : BALA CYNWYD
State : PA
Zip : 19004-1734
Country : US
Telephone Number : 856-827-7630
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2018
Last Update Date : 01/20/2023

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