MEDICARE: APRIL LAWHORN MS, 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

Other Identifiers

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

General Provider Information

NPI Number	:	1306211867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL LAWHORN MS, BCBA

Provider Business Mailing Address
First Line	:	3605 BAY TREE RD
Second Line	:
City	:	LYNN HAVEN
State	:	FL
Zip	:	32444-5660
Country	:	US
Telephone Number	:	850-565-1057
Fax Number	:

Provider Business Practice Location Address
First Line	:	3605 BAY TREE RD
Second Line	:
City	:	LYNN HAVEN
State	:	FL
Zip	:	32444-5660
Country	:	US
Telephone Number	:	850-527-2607
Fax Number	:

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

Provider Enumeration Date	:	12/09/2015
Last Update Date	:	04/29/2023

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