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NPI Code Detail

MEDICARE: ERICA JASMINE LAWSON BCBA

MEDICARE: ERICA JASMINE LAWSON 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 : 1801376801
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA JASMINE LAWSON BCBA
Provider Business Mailing Address
First Line : 7901 E 88TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-1235
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 : 08/19/2018
Last Update Date : 05/15/2023

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