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NPI Code Detail

MEDICARE: DIONNE LASHUN WHITE

MEDICARE: DIONNE LASHUN WHITE
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BACB1465432OTHERAKBACB1465432

General Provider Information

NPI Number : 1922960863
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIONNE LASHUN WHITE
Provider Business Mailing Address
First Line : 100 SPENRYN DR
Second Line :
City : MADISON
State : AL
Zip : 35758-1890
Country : US
Telephone Number : 256-772-4400
Fax Number :
Provider Business Practice Location Address
First Line : 100 SPENRYN DR
Second Line :
City : MADISON
State : AL
Zip : 35758-1890
Country : US
Telephone Number : 256-772-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

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Directions to “ DIONNE LASHUN WHITE ” Practice Location

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