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NPI Code Detail

MEDICARE: JOLENE LAPLACA MA, BCBA

MEDICARE: JOLENE LAPLACA MA, 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 Analyst1-10-7424FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194150201
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOLENE LAPLACA MA, BCBA
Provider Business Mailing Address
First Line : 6215 LORRAINE RD
Second Line :
City : LAKEWOOD RANCH
State : FL
Zip : 34202-6708
Country : US
Telephone Number : 941-755-1400
Fax Number : 941-322-8118
Provider Business Practice Location Address
First Line : 6215 LORRAINE RD
Second Line :
City : LAKEWOOD RANCH
State : FL
Zip : 34202-6708
Country : US
Telephone Number : 941-755-1400
Fax Number : 941-322-8118
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2013
Last Update Date : 09/08/2013

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