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NPI Code Detail

MEDICARE: JEREMIAH JONATHAN CARO BCBA, LBA

MEDICARE: JEREMIAH JONATHAN CARO BCBA, LBA
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 AnalystBEH-001904AZ

General Provider Information

NPI Number : 1265326805
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEREMIAH JONATHAN CARO BCBA, LBA
Provider Business Mailing Address
First Line : 13700 N DYSART RD UNIT 180
Second Line :
City : SURPRISE
State : AZ
Zip : 85379-3319
Country : US
Telephone Number : 480-297-0793
Fax Number :
Provider Business Practice Location Address
First Line : 13700 N DYSART RD UNIT 180
Second Line :
City : SURPRISE
State : AZ
Zip : 85379-3319
Country : US
Telephone Number : 480-297-0793
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2025
Last Update Date : 06/06/2025

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