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NPI Code Detail

MEDICARE: DANA QORAAN

MEDICARE: DANA QORAAN
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
1106E00000XAssistant Behavior Analyst
2106S00000XBehavior Technician
3103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215406582
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA QORAAN
Provider Business Mailing Address
First Line : 17155 HADLOW PL
Second Line :
City : FORT MYERS
State : FL
Zip : 33967-5330
Country : US
Telephone Number : 239-219-3409
Fax Number :
Provider Business Practice Location Address
First Line : 11922 FAIRWAY LAKES DR STE 2
Second Line :
City : FORT MYERS
State : FL
Zip : 33913-8384
Country : US
Telephone Number : 239-219-3409
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2018
Last Update Date : 05/19/2023

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Directions to “ DANA QORAAN ” Practice Location

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