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NPI Code Detail

MEDICARE: VINCENT J. LAMARCA BCBA

MEDICARE: VINCENT J. LAMARCA 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 Analyst1-05-2495

General Provider Information

NPI Number : 1558672857
Entity Type Code : Individual
Provider Name (Legal Business Name) : VINCENT J. LAMARCA BCBA
Provider Business Mailing Address
First Line : 7901 E 88TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-1235
Country : US
Telephone Number : 317-849-5437
Fax Number :
Provider Business Practice Location Address
First Line : 7901 E 88TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-1235
Country : US
Telephone Number : 317-849-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2010
Last Update Date : 02/17/2022

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