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NPI Code Detail

MEDICARE: BETSY P FUNES

MEDICARE: BETSY P FUNES
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 : 1598515256
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETSY P FUNES
Provider Business Mailing Address
First Line : 1969 ROXEY LN
Second Line :
City : WINDER
State : GA
Zip : 30680-6124
Country : US
Telephone Number : 404-548-5486
Fax Number :
Provider Business Practice Location Address
First Line : 1130 HURRICANE SHOALS RD NE STE 1800
Second Line :
City : LAWRENCEVILLE
State : GA
Zip : 30043-4849
Country : US
Telephone Number : 470-740-0355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2024
Last Update Date : 03/25/2024

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Directions to “ BETSY P FUNES ” Practice Location

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