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NPI Code Detail

MEDICARE: JANET LYNN PARENT

MEDICARE:   JANET LYNN PARENT
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1902734080
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET LYNN PARENT
Provider Business Mailing Address
First Line : 601 N SUPERIOR AVE
Second Line :
City : TOMAH
State : WI
Zip : 54660-1587
Country : US
Telephone Number : 608-205-8860
Fax Number : 608-506-1114
Provider Business Practice Location Address
First Line : 601 N SUPERIOR AVE
Second Line :
City : TOMAH
State : WI
Zip : 54660-1587
Country : US
Telephone Number : 608-205-8860
Fax Number : 608-506-1114
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2026
Last Update Date : 05/11/2026

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Directions to “ JANET LYNN PARENT ” Practice Location

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