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NPI Code Detail

MEDICARE: LAUREN DANIELLE EARNEST MA, BCBA

MEDICARE: LAUREN DANIELLE EARNEST MA, 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 Analyst1-16-24463

General Provider Information

NPI Number : 1417481821
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN DANIELLE EARNEST MA, BCBA
Provider Business Mailing Address
First Line : 3100 PREMIER DR STE 234
Second Line :
City : IRVING
State : TX
Zip : 75063-2693
Country : US
Telephone Number : 972-756-1222
Fax Number : 469-374-0800
Provider Business Practice Location Address
First Line : 3100 PREMIER DR STE 234
Second Line :
City : IRVING
State : TX
Zip : 75063-2693
Country : US
Telephone Number : 816-830-6585
Fax Number : 817-249-2215
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2017
Last Update Date : 05/02/2024

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