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NPI Code Detail

MEDICARE: LANAE NICOLE ASHER BCBA

MEDICARE: LANAE NICOLE ASHER BCBA
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

General Provider Information

NPI Number : 1750030227
Entity Type Code : Individual
Provider Name (Legal Business Name) : LANAE NICOLE ASHER BCBA
Provider Business Mailing Address
First Line : 1824 TOUBY PIKE STE B
Second Line :
City : KOKOMO
State : IN
Zip : 46901-2573
Country : US
Telephone Number : 765-628-7400
Fax Number : 855-940-0177
Provider Business Practice Location Address
First Line : 511 W LINCOLN AVE
Second Line :
City : GOSHEN
State : IN
Zip : 46526-2430
Country : US
Telephone Number : 574-387-4313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2022
Last Update Date : 03/22/2022

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Directions to “ LANAE NICOLE ASHER BCBA” Practice Location

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