Lori Phan is a Behavior Analyst in Louisville, Kentucky. Lori Phan practices all healthcare services and medical treatments related to Behavior Analyst. The NPI Number for Lori Phan is 1568668077. The last update date is 2019-08-15.
Lori Phan's current location address is 11110 Sewell Dr, Louisville, Kentucky. You can contact this provider via phone number 5026558105. The mailing address for Lori Phan is 11110 Sewell Dr, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lori Phan |
|---|---|
| Address | 11110 Sewell Dr, Louisville, Kentucky |
| Phone Number | 5026558105 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.A., B.C. |
NPI Number Detail
| NPI Number | 1568668077 |
|---|---|
| Provider Enumeration Date | 2007-06-22 |
| Last Updated Date | 2019-08-15 |
Provider Mailing Address Detail
| Address | 11110 Sewell Dr |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402914124 |
| Phone Number | 5026558105 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Behavior Analyst |
|---|---|
| Taxonomy | 103K00000X |
| Licence No | 100299 |
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Definition: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the requi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100325870 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lori Phan by the Centers for Medicare & Medicaid Services?
The Lori Phan has been issued the NPI (National Provider Identifier) 1568668077, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Lori Phan?
The Lori Phan is physically situated at 11110 Sewell Dr, in the city of Louisville, state of KY, with the postal code 402914124.
What is Lori Phan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lori Phan's area of specialization is Behavior Analyst, and the corresponding taxonomy code that categorizes this field of practice is 103K00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1568668077 to Lori Phan?
The Lori Phan received its 1568668077 assignment from the Centers for Medicare & Medicaid Services on 2007-06-22.
As of what date was the information regarding Lori Phan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lori Phan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-08-15.
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