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NPI Code Detail

MEDICARE: MRS. JENNIFER E ANDOSCIA BCBA-D

MEDICARE: MRS. JENNIFER E ANDOSCIA BCBA-D
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 Analyst1-14-10450FL

General Provider Information

NPI Number : 1780074104
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER E ANDOSCIA BCBA-D
Provider Business Mailing Address
First Line : 3661 CENTRAL AVE
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-8218
Country : US
Telephone Number : 239-245-8761
Fax Number : 239-689-8694
Provider Business Practice Location Address
First Line : 3661 CENTRAL AVE
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-8218
Country : US
Telephone Number : 239-245-8761
Fax Number : 239-689-8694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2015
Last Update Date : 08/06/2025

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Directions to “ MRS. JENNIFER E ANDOSCIA BCBA-D” Practice Location

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