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NPI Code Detail

MEDICARE: MARK THOMAS HUDSON

MEDICARE:   MARK THOMAS HUDSON
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1588520423
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK THOMAS HUDSON
Provider Business Mailing Address
First Line : 1675 RICHMOND AVE
Second Line :
City : FLOMATON
State : AL
Zip : 36441-6009
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1675 RICHMOND AVE
Second Line :
City : FLOMATON
State : AL
Zip : 36441-6009
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/05/2026

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Directions to “ MARK THOMAS HUDSON ” Practice Location

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