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NPI Code Detail

MEDICARE: SANTINO LOVULLO LBA, BCBA

MEDICARE: SANTINO LOVULLO LBA, 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
1103TB0200XCognitive & Behavioral PsychologistPSY 25783CA
2103K00000XBehavior AnalystLA

General Provider Information

NPI Number : 1316379464
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANTINO LOVULLO LBA, BCBA
Provider Business Mailing Address
First Line : 5700 CITRUS BLVD STE A1
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70123-8505
Country : US
Telephone Number : 866-727-8274
Fax Number :
Provider Business Practice Location Address
First Line : 5700 CITRUS BLVD STE A1
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70123-8505
Country : US
Telephone Number : 866-727-8274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2013
Last Update Date : 02/19/2018

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Directions to “ SANTINO LOVULLO LBA, BCBA” Practice Location

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