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NPI Code Detail

MEDICARE: NATALIA LOUISE WHITE M.ED., BCBA, LBA

MEDICARE: NATALIA LOUISE WHITE M.ED., BCBA, LBA
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 AnalystBEH-000336AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11-17-27059OTHERBCBA CERTIFICATE

General Provider Information

NPI Number : 1720406390
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIA LOUISE WHITE M.ED., BCBA, LBA
Provider Business Mailing Address
First Line : 7770 E WRIGHTSTOWN RD
Second Line :
City : TUCSON
State : AZ
Zip : 85715-4330
Country : US
Telephone Number : 520-929-6125
Fax Number :
Provider Business Practice Location Address
First Line : 7770 E WRIGHTSTOWN RD
Second Line :
City : TUCSON
State : AZ
Zip : 85715-4330
Country : US
Telephone Number : 520-929-6125
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2014
Last Update Date : 10/14/2024

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