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NPI Code Detail

MEDICARE: CLAIRE HEADRICK

MEDICARE:   CLAIRE  HEADRICK
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 TechnicianFL

General Provider Information

NPI Number : 1245178813
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAIRE HEADRICK
Provider Business Mailing Address
First Line : 4117 N PINE ISLAND RD
Second Line :
City : SUNRISE
State : FL
Zip : 33351-6005
Country : US
Telephone Number : 954-605-0378
Fax Number :
Provider Business Practice Location Address
First Line : 4117 N PINE ISLAND RD
Second Line :
City : SUNRISE
State : FL
Zip : 33351-6005
Country : US
Telephone Number : 954-605-0378
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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Directions to “ CLAIRE HEADRICK ” Practice Location

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