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NPI Code Detail

MEDICARE: KENDALL LANE HARPER

MEDICARE:   KENDALL LANE HARPER
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
1106S00000XBehavior Technician
2103K00000XBehavior Analyst1-23-65829NC

General Provider Information

NPI Number : 1386277713
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDALL LANE HARPER
Provider Business Mailing Address
First Line : 54 MYRTLE ST
Second Line :
City : BELMONT
State : NC
Zip : 28012-5200
Country : US
Telephone Number : 704-954-8959
Fax Number :
Provider Business Practice Location Address
First Line : 54 MYRTLE ST
Second Line :
City : BELMONT
State : NC
Zip : 28012-5200
Country : US
Telephone Number : 704-954-8959
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2020
Last Update Date : 04/19/2024

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Directions to “ KENDALL LANE HARPER ” Practice Location

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