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NPI Code Detail

MEDICARE: SIERRA LYNEM

MEDICARE: SIERRA LYNEM
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 : 1407704463
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIERRA LYNEM
Provider Business Mailing Address
First Line : 100 N PACIFIC COAST HWY STE 1400
Second Line :
City : EL SEGUNDO
State : CA
Zip : 90245-5602
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3190 SHELBY ST STE B
Second Line :
City : ONTARIO
State : CA
Zip : 91764-6563
Country : US
Telephone Number : 909-451-7861
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2026
Last Update Date : 03/17/2026

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Directions to “ SIERRA LYNEM ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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