Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 146.0120474 | VT |
NPI | 1003387499 |
---|---|
Provider Name | Dr. James Edward Lapaglia |
First Address | East Calais, VT 05650-8089 |
Second Address | East Calais, VT 05650-8089 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2018 |
Last Update Date | 10/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
146.0120474 | ANALYST CREDENTIAL (01) | VT |
30860535 | DRIVER’S LICENSE (01) | |
8024568778 | TELEPHONE (01) | |
8027933896 | CELL (01) | |
9386 | COOP ACCOUNT (01) |