Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner |
| NPI Number | 1639793326 |
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| LBN Legal business name | ADVANCED BEHAVIORAL CLINICIANS, LLC | ||||
| Authorized official | ADAIR DEICKE - (OWNER/CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/29/2020 | ||||
| Last updated | 08/26/2022 - About 4 years ago | ||||
| Identifiers |
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ADVANCED BEHAVIORAL CLINICIANS, LLC