MEDICARE: MR. THOMAS CURCIO

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
1	106E00000X	Assistant Behavior Analyst

General Provider Information

NPI Number	:	1396422911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. THOMAS CURCIO

Provider Business Mailing Address
First Line	:	11017 LEGACY LN APT 206
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-3613
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11017 LEGACY LN APT 206
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-3613
Country	:	US
Telephone Number	:	561-427-9175
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2023
Last Update Date	:	07/05/2023

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