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NPI Code Detail

MEDICARE: LENA KALTENBRUNNER

MEDICARE: LENA KALTENBRUNNER
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 Analyst
2247200000XOther Technician
3106E00000XAssistant Behavior Analyst
4106S00000XBehavior Technician

General Provider Information

NPI Number : 1275021222
Entity Type Code : Individual
Provider Name (Legal Business Name) : LENA KALTENBRUNNER
Provider Business Mailing Address
First Line : 1301 MUSEUM RD
Second Line :
City : CONWAY
State : AR
Zip : 72032-4739
Country : US
Telephone Number : 501-358-6535
Fax Number :
Provider Business Practice Location Address
First Line : 1301 MUSEUM RD
Second Line :
City : CONWAY
State : AR
Zip : 72032-4739
Country : US
Telephone Number : 501-358-6535
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2018
Last Update Date : 06/19/2024

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Directions to “ LENA KALTENBRUNNER ” Practice Location

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