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NPI Code Detail

MEDICARE: CORYNN LAPSKER BCBA

MEDICARE:   CORYNN  LAPSKER  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
1222Q00000XDevelopmental TherapistCC67650411PIL
2103K00000XBehavior Analyst1-14-15533IL

General Provider Information

NPI Number : 1538456249
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORYNN LAPSKER BCBA
Provider Business Mailing Address
First Line : 21000 S FRANKFORT SQUARE RD STE D
Second Line :
City : FRANKFORT
State : IL
Zip : 60423-9386
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 21000 S FRANKFORT SQUARE RD STE D
Second Line :
City : FRANKFORT
State : IL
Zip : 60423-9386
Country : US
Telephone Number : 815-469-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2011
Last Update Date : 04/25/2022

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