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NPI Code Detail

MEDICARE: KATHERINE HART

MEDICARE: KATHERINE HART
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 : 1104756238
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE HART
Provider Business Mailing Address
First Line : 5638 FOXLAKE DR
Second Line :
City : NORTH FORT MYERS
State : FL
Zip : 33917-5649
Country : US
Telephone Number : 754-277-6827
Fax Number :
Provider Business Practice Location Address
First Line : 5638 FOXLAKE DR
Second Line :
City : NORTH FORT MYERS
State : FL
Zip : 33917-5649
Country : US
Telephone Number : 754-277-6827
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

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Directions to “ KATHERINE HART ” Practice Location

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