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NPI Code Detail

MEDICARE: LA'SHARAE ABRAMS BCBA

MEDICARE: LA'SHARAE ABRAMS 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 Analyst661NC

General Provider Information

NPI Number : 1396216305
Entity Type Code : Individual
Provider Name (Legal Business Name) : LA'SHARAE ABRAMS BCBA
Provider Business Mailing Address
First Line : PO BOX 137742
Second Line :
City : CLERMONT
State : FL
Zip : 34713-7742
Country : US
Telephone Number : 980-989-3292
Fax Number :
Provider Business Practice Location Address
First Line : 131 W INNES ST
Second Line :
City : SALISBURY
State : NC
Zip : 28144-4338
Country : US
Telephone Number : 980-305-8780
Fax Number : 980-892-0404
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2018
Last Update Date : 08/12/2024

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