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NPI Code Detail

MEDICARE: LAUREN DENOIA LEP, BCBA

MEDICARE: LAUREN DENOIA LEP, 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
1103TS0200XSchool PsychologistLEP4175CA
2103K00000XBehavior Analyst1-13-14705CA

General Provider Information

NPI Number : 1184047201
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN DENOIA LEP, BCBA
Provider Business Mailing Address
First Line : 177 E COLORADO BLVD STE 200
Second Line :
City : PASADENA
State : CA
Zip : 91105-1955
Country : US
Telephone Number : 844-669-7827
Fax Number :
Provider Business Practice Location Address
First Line : 177 E COLORADO BLVD STE 200
Second Line :
City : PASADENA
State : CA
Zip : 91105-1955
Country : US
Telephone Number : 844-669-7827
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2014
Last Update Date : 06/28/2022

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