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NPI Code Detail

MEDICARE: FAITH POPE

MEDICARE: FAITH POPE
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 : 1174463103
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAITH POPE
Provider Business Mailing Address
First Line : 3415 BATAAN MEMORIAL W
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012-5012
Country : US
Telephone Number : 505-392-3482
Fax Number :
Provider Business Practice Location Address
First Line : 1812 LINCOLNSHIRE PL
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-6945
Country : US
Telephone Number : 757-317-6311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2026
Last Update Date : 03/30/2026

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Directions to “ FAITH POPE ” Practice Location

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