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NPI Code Detail

MEDICARE: JAMIE DEVLIN

MEDICARE: JAMIE DEVLIN
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
1103K00000XBehavior Analyst1-12-12212

General Provider Information

NPI Number : 1184177453
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE DEVLIN
Provider Business Mailing Address
First Line : 4490 LIVINGSTON ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19137-1622
Country : US
Telephone Number : 215-518-1738
Fax Number :
Provider Business Practice Location Address
First Line : 2900 SOUTHAMPTON RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19154-1202
Country : US
Telephone Number : 215-518-1738
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2016
Last Update Date : 04/21/2023

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Directions to “ JAMIE DEVLIN ” Practice Location

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