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NPI Code Detail

MEDICARE: NINA LEMELIN M.S., B.C.B.A

MEDICARE:   NINA  LEMELIN  M.S., B.C.B.A
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 Analyst1-15-19076FL

General Provider Information

NPI Number : 1619352630
Entity Type Code : Individual
Provider Name (Legal Business Name) : NINA LEMELIN M.S., B.C.B.A
Provider Business Mailing Address
First Line : PO BOX 51322
Second Line :
City : BOWLING GREEN
State : KY
Zip : 42102-5622
Country : US
Telephone Number : 270-777-9283
Fax Number : 270-777-8283
Provider Business Practice Location Address
First Line : 3217 S MACDILL AVE
Second Line :
City : TAMPA
State : FL
Zip : 33629-1719
Country : US
Telephone Number : 813-284-7941
Fax Number : 813-284-7942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2015
Last Update Date : 02/21/2017

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