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NPI Code Detail

MEDICARE: CADY-JO STEIDLE

MEDICARE: CADY-JO STEIDLE
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
2103K00000XBehavior Analyst1-21-55154

General Provider Information

NPI Number : 1760833750
Entity Type Code : Individual
Provider Name (Legal Business Name) : CADY-JO STEIDLE
Provider Business Mailing Address
First Line : PO BOX 253
Second Line :
City : SKILLMAN
State : NJ
Zip : 08558-0253
Country : US
Telephone Number :
Fax Number : 877-515-6711
Provider Business Practice Location Address
First Line : 1111 KING GEORGE BLVD
Second Line :
City : SAVANNAH
State : GA
Zip : 31419-9547
Country : US
Telephone Number : 912-785-9027
Fax Number : 877-515-6711
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2016
Last Update Date : 12/07/2022

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