MEDICARE: LAUREN ELIZABETH BELL

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
1	106S00000X	Behavior Technician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891213153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN ELIZABETH BELL

Provider Business Mailing Address
First Line	:	5971 ST HWY 83 N
Second Line	:
City	:	DEFUNIAK SPRINGS
State	:	FL
Zip	:	32433-5922
Country	:	US
Telephone Number	:	850-974-6077
Fax Number	:

Provider Business Practice Location Address
First Line	:	171 ST HWY 83 N # A-101
Second Line	:
City	:	DEFUNIAK SPRINGS
State	:	FL
Zip	:	32433-7427
Country	:	US
Telephone Number	:	850-585-9189
Fax Number	:	850-951-0898

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2017
Last Update Date	:	09/06/2017

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Directions to “ LAUREN ELIZABETH BELL ” Practice Location

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