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NPI Code Detail

MEDICARE: LAUREN SISKEN

MEDICARE: LAUREN SISKEN
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

General Provider Information

NPI Number : 1407573553
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN SISKEN
Provider Business Mailing Address
First Line : 8357 CLAREMONT WOODS DR APT M
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22309-1898
Country : US
Telephone Number : 609-213-8539
Fax Number :
Provider Business Practice Location Address
First Line : 8405 RICHMOND HWY STE E
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22309-2425
Country : US
Telephone Number : 703-896-0760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2022
Last Update Date : 10/19/2022

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Directions to “ LAUREN SISKEN ” Practice Location

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