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NPI Code Detail

MEDICARE: MRS. LAUREN SYMONS BCBA

MEDICARE: MRS. LAUREN SYMONS 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 Technician
2103K00000XBehavior Analyst1-22-58037IN

General Provider Information

NPI Number : 1568920452
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAUREN SYMONS BCBA
Provider Business Mailing Address
First Line : 7507 MICHIGAN RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-2321
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7507 MICHIGAN RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-2321
Country : US
Telephone Number : 317-827-7777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2019
Last Update Date : 04/06/2023

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