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NPI Code Detail

MEDICARE: BICC CENTRAL CALIFORNIA

MEDICARE: BICC CENTRAL CALIFORNIA
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 : 1619403235
Entity Type Code : Organization
Provider Name (Legal Business Name) : BICC CENTRAL CALIFORNIA
Provider Business Mailing Address
First Line : 1782 E BULLARD AVE STE 104
Second Line :
City : FRESNO
State : CA
Zip : 93710-5868
Country : US
Telephone Number : 559-515-6485
Fax Number : 558-447-1567
Provider Business Practice Location Address
First Line : 1782 E BULLARD AVE STE 104
Second Line :
City : FRESNO
State : CA
Zip : 93710-5868
Country : US
Telephone Number : 559-515-6485
Fax Number : 558-447-1567
Authorized Official
Title or Position : OPERATIONS MANAGER
Name : ANDREA MARSHALL
Credential :
Telephone Number : 559-515-6485
Provider Enumeration Date : 05/02/2017
Last Update Date : 05/02/2017

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Directions to “BICC CENTRAL CALIFORNIA ” Practice Location

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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.