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NPI Code Detail

MEDICARE: BRIANNA KAPEL BCBA

MEDICARE: BRIANNA KAPEL BCBA
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 Analyst1-12-12392

General Provider Information

NPI Number : 1770827735
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANNA KAPEL BCBA
Provider Business Mailing Address
First Line : 1750 COMMERCE CENTER BLVD
Second Line :
City : FAIRBORN
State : OH
Zip : 45324-6333
Country : US
Telephone Number : 937-878-8444
Fax Number :
Provider Business Practice Location Address
First Line : 1750 COMMERCE CENTER BLVD
Second Line :
City : FAIRBORN
State : OH
Zip : 45324-6333
Country : US
Telephone Number : 937-878-8444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2012
Last Update Date : 04/27/2023

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