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NPI Code Detail

MEDICARE: JENNIFER DUFFY

MEDICARE: JENNIFER DUFFY
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

General Provider Information

NPI Number : 1780533695
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER DUFFY
Provider Business Mailing Address
First Line : PO BOX 33568
Second Line :
City : SAN DIEGO
State : CA
Zip : 92163-3568
Country : US
Telephone Number : 855-223-7123
Fax Number :
Provider Business Practice Location Address
First Line : 1632 RAIDER WAY
Second Line :
City : LEANDER
State : TX
Zip : 78641-5404
Country : US
Telephone Number : 855-223-7123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2026
Last Update Date : 01/23/2026

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Directions to “ JENNIFER DUFFY ” Practice Location

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