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NPI Code Detail

MEDICARE: LINDSAY GILL BCBA

MEDICARE: LINDSAY GILL 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
1106S00000XBehavior TechnicianRBT-21-153422AZ
2103K00000XBehavior AnalystBEH-000817AZ

General Provider Information

NPI Number : 1558956631
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY GILL BCBA
Provider Business Mailing Address
First Line : 5815 N 21ST AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85015-2342
Country : US
Telephone Number : 503-686-5518
Fax Number :
Provider Business Practice Location Address
First Line : 20601 N 19TH AVE STE 100
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-2666
Country : US
Telephone Number : 888-754-0398
Fax Number : 954-982-6491
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2021
Last Update Date : 04/26/2022

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Directions to “ LINDSAY GILL BCBA” Practice Location

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