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NPI Code Detail

MEDICARE: T3L, LLC

MEDICARE: T3L, LLC
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 Analyst

General Provider Information

NPI Number : 1407484884
Entity Type Code : Organization
Provider Name (Legal Business Name) : T3L, LLC
Provider Business Mailing Address
First Line : 1000 WOODCOCK RD STE 100A
Second Line :
City : ORLANDO
State : FL
Zip : 32803-3511
Country : US
Telephone Number : 888-489-1691
Fax Number :
Provider Business Practice Location Address
First Line : 1000 WOODCOCK RD STE 100A
Second Line :
City : ORLANDO
State : FL
Zip : 32803-3511
Country : US
Telephone Number : 888-489-1691
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : WARREN BATES
Credential :
Telephone Number : 321-480-4044
Provider Enumeration Date : 03/31/2020
Last Update Date : 03/04/2022

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Directions to “T3L, LLC ” Practice Location

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