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NPI Code Detail

MEDICARE: KRISTEN MARIE HOOVER BCBA

MEDICARE: KRISTEN MARIE HOOVER BCBA
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 Analyst1-13-13531CA

General Provider Information

NPI Number : 1346681194
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN MARIE HOOVER BCBA
Provider Business Mailing Address
First Line : 1000 PASEO CAMARILLO STE 235
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-0754
Country : US
Telephone Number : 805-383-5566
Fax Number : 888-659-0031
Provider Business Practice Location Address
First Line : 1000 PASEO CAMARILLO STE 235
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-0754
Country : US
Telephone Number : 805-383-5566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2013
Last Update Date : 10/24/2022

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Directions to “ KRISTEN MARIE HOOVER BCBA” Practice Location

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