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NPI Code Detail

MEDICARE: MARION LACROIX M.ED., RBT, LABA

MEDICARE: MARION LACROIX M.ED., RBT, LABA
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 Analyst
2106S00000XBehavior TechnicianRBT-15-09529WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11528371226OTHERWANPPES

General Provider Information

NPI Number : 1740658806
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARION LACROIX M.ED., RBT, LABA
Provider Business Mailing Address
First Line : 7108 S KANNER HWY
Second Line :
City : STUART
State : FL
Zip : 34997-7462
Country : US
Telephone Number : 855-832-6727
Fax Number : 772-675-9100
Provider Business Practice Location Address
First Line : 600 STEWART ST STE 300
Second Line :
City : SEATTLE
State : WA
Zip : 98101-1257
Country : US
Telephone Number : 382-672-7855
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2015
Last Update Date : 05/05/2021

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