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NPI Code Detail

MEDICARE: EMMA M BASWELL

MEDICARE: EMMA M BASWELL
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

General Provider Information

NPI Number : 1619834710
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA M BASWELL
Provider Business Mailing Address
First Line : 22365 EL TORO RD STE 151
Second Line :
City : LAKE FOREST
State : CA
Zip : 92630-5053
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 23046 AVENIDA DE LA CARLOTA STE 600
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-1537
Country : US
Telephone Number : 714-805-9070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “ EMMA M BASWELL ” Practice Location

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