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NPI Code Detail

MEDICARE: REESE M MCFARLANE

MEDICARE: REESE M MCFARLANE
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
2103K00000XBehavior Analyst1-24-76927FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11-24-76927OTHERFLBACB
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154991180
Entity Type Code : Individual
Provider Name (Legal Business Name) : REESE M MCFARLANE
Provider Business Mailing Address
First Line : 300 INTERNATIONAL PKWY, SUITE 200
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-3625
Country : US
Telephone Number : 866-610-0580
Fax Number :
Provider Business Practice Location Address
First Line : 13553 ATLANTIC BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32225-4225
Country : US
Telephone Number : 703-090-4420
Fax Number : 904-297-4064
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2021
Last Update Date : 11/21/2024

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