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NPI Code Detail

MEDICARE: MR. SEAN YOCUM BCBA

MEDICARE: MR. SEAN YOCUM 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 Analyst1-22-57936NC

General Provider Information

NPI Number : 1538814140
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SEAN YOCUM BCBA
Provider Business Mailing Address
First Line : 3628 26TH STREET DR NE
Second Line :
City : HICKORY
State : NC
Zip : 28601-7206
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3628 26TH STREET DR NE
Second Line :
City : HICKORY
State : NC
Zip : 28601-7206
Country : US
Telephone Number : 201-264-2570
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2022
Last Update Date : 02/14/2022

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