MEDICARE: MAUREEN THERESA FIOCCA BSL

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	103K00000X	Behavior Analyst	BH004261	PA

General Provider Information

NPI Number	:	1558924886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN THERESA FIOCCA BSL

Provider Business Mailing Address
First Line	:	1931 E MOYAMENSING AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19148-2526
Country	:	US
Telephone Number	:	215-667-4039
Fax Number	:

Provider Business Practice Location Address
First Line	:	1931 E MOYAMENSING AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19148-2526
Country	:	US
Telephone Number	:	215-667-4039
Fax Number	:

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

Provider Enumeration Date	:	04/22/2019
Last Update Date	:	04/22/2019

Similar Medicare Providers

1013985100 — DR. NOAH JAN GOLDMAN DPM
Practice Location Address:

7919 VERREE RD
PHILADELPHIA, PA
19111-2526

Practice Phone: 215-742-8383
Practice Fax:

1891749966 — NOAH J. GOLDMAN,DPM,PC
Practice Location Address:

7919 VERREE RD
PHILADELPHIA, PA
19111-2526

Practice Phone: 215-742-8383
Practice Fax:

1487128674 — BEPPU
Practice Location Address:

6378 WOODBINE AVE
PHILADELPHIA, PA
19151-2526

Practice Phone: 215-341-1327
Practice Fax:

1962113191 — LAURYN ASHLEIGH BRADY WHITE FNP
Practice Location Address:

591 PEDLEY RD
PHILADELPHIA, PA
19128-2526

Practice Phone: 215-527-4659
Practice Fax:

1801697552 — GYORGY SCHRADER POLCZER L.AC.
Practice Location Address:

6358 WOODBINE AVE
PHILADELPHIA, PA
19151-2526

Practice Phone: 919-619-8689
Practice Fax:

1497356265 — LAILA FAKRI
Practice Location Address:

1833 S 6TH ST
PHILADELPHIA, PA
19148-1732

Practice Phone: 202-670-4057
Practice Fax:

Directions to “ MAUREEN THERESA FIOCCA BSL” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.