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NPI Code Detail

MEDICARE: ERIN HART

MEDICARE: ERIN HART
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 : 1699019554
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN HART
Provider Business Mailing Address
First Line : 5959 LAKE ELLENOR DR
Second Line :
City : ORLANDO
State : FL
Zip : 32809-4633
Country : US
Telephone Number : 407-490-1453
Fax Number : 321-445-9760
Provider Business Practice Location Address
First Line : 5959 LAKE ELLENOR DR
Second Line :
City : ORLANDO
State : FL
Zip : 32809-4633
Country : US
Telephone Number : 407-490-1453
Fax Number : 321-445-9760
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2012
Last Update Date : 04/04/2025

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