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Individual
DR. LAUREL RENEE KASH
Active
Individual
DR. LAUREL RENEE KASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
837215
OR
174400000X
Specialist
837215
OR
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
837215
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
837215
EXPRS MEDICAID PROVIDER NUMBER
OR
Enumeration date
01/05/2022
Last updated
01/05/2022
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