MEDICARE: MS. LORIN MCGUIRE M.A., 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
1	103K00000X	Behavior Analyst	1-06-3185

General Provider Information

NPI Number	:	1174763460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LORIN MCGUIRE M.A., BCBA

Provider Business Mailing Address
First Line	:	PO BOX 720054
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75372-0054
Country	:	US
Telephone Number	:	214-828-2552
Fax Number	:

Provider Business Practice Location Address
First Line	:	2710 FLOYD ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-5906
Country	:	US
Telephone Number	:	214-828-2552
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2009
Last Update Date	:	02/25/2009

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