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NPI Code Detail

MEDICARE: CHARITY BAILEY

MEDICARE: CHARITY BAILEY
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

General Provider Information

NPI Number : 1093652851
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARITY BAILEY
Provider Business Mailing Address
First Line : 11287 WASHINGTON BLVD
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-4615
Country : US
Telephone Number : 323-240-5560
Fax Number :
Provider Business Practice Location Address
First Line : 11287 WASHINGTON BLVD
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-4615
Country : US
Telephone Number : 323-240-5560
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2026
Last Update Date : 04/30/2026

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Directions to “ CHARITY BAILEY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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