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NPI Code Detail

MEDICARE: AUTUMN M STURGES

MEDICARE: AUTUMN M STURGES
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 TechnicianBACB823070CA

General Provider Information

NPI Number : 1811682974
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUTUMN M STURGES
Provider Business Mailing Address
First Line : 14152 SAWSTON CIR
Second Line :
City : WESTMINSTER
State : CA
Zip : 92683-4133
Country : US
Telephone Number : 714-943-6597
Fax Number :
Provider Business Practice Location Address
First Line : 8832 SYRACUSE AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92804-6229
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2023
Last Update Date : 04/05/2023

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Directions to “ AUTUMN M STURGES ” Practice Location

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