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NPI Code Detail

MEDICARE: HAILEY CHERRY BCABA

MEDICARE: HAILEY CHERRY BCABA
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 : 1811511728
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAILEY CHERRY BCABA
Provider Business Mailing Address
First Line : 2017 W BELMONT ST
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-3615
Country : US
Telephone Number : 813-841-3013
Fax Number :
Provider Business Practice Location Address
First Line : 9900 N DAVIS HWY
Second Line :
City : PENSACOLA
State : FL
Zip : 32514-8124
Country : US
Telephone Number : 718-215-5311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2020
Last Update Date : 01/25/2024

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Directions to “ HAILEY CHERRY BCABA” Practice Location

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