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NPI Code Detail

MEDICARE: MRS. LINDSEY RAE JAMES M.A., BCBA

MEDICARE: MRS. LINDSEY RAE JAMES M.A., 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 Analyst1-20-40612

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11-20-40612OTHERBEHAVIOR ANALYST CERTIFICATION BOARD

General Provider Information

NPI Number : 1578197166
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDSEY RAE JAMES M.A., BCBA
Provider Business Mailing Address
First Line : 1133 N WILSON AVE # E104
Second Line :
City : LOVELAND
State : CO
Zip : 80537-4481
Country : US
Telephone Number : 214-690-6050
Fax Number :
Provider Business Practice Location Address
First Line : 1044 W DRAKE RD STE 100
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-3079
Country : US
Telephone Number : 970-305-8642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2020
Last Update Date : 02/20/2024

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