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NPI Code Detail

MEDICARE: MS. LAURELIN BROOKE DUCKETT BCBA

MEDICARE: MS. LAURELIN BROOKE DUCKETT 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 Analyst1-10-7581

General Provider Information

NPI Number : 1841794963
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURELIN BROOKE DUCKETT BCBA
Provider Business Mailing Address
First Line : 950 SE REGATTA DR STE 101
Second Line :
City : OAK HARBOR
State : WA
Zip : 98277-5451
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 950 SE REGATTA DR STE 101
Second Line :
City : OAK HARBOR
State : WA
Zip : 98277-5451
Country : US
Telephone Number : 360-679-1039
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2018
Last Update Date : 01/14/2026

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