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NPI Code Detail

MEDICARE: LAUREN LUISA VINCENT

MEDICARE: LAUREN LUISA VINCENT
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 : 1689520884
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN LUISA VINCENT
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 505 S 3RD ST
Second Line :
City : ELKHART
State : IN
Zip : 46516-3252
Country : US
Telephone Number : 574-359-6796
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ LAUREN LUISA VINCENT ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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