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NPI Code Detail

MEDICARE: KATHERYN KYNN FERRON

MEDICARE: KATHERYN KYNN FERRON
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 AnalystRBT-19-102927FL

General Provider Information

NPI Number : 1831774462
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERYN KYNN FERRON
Provider Business Mailing Address
First Line : 2667 NW 33RD ST
Second Line :
City : OAKLAND PARK
State : FL
Zip : 33309-6477
Country : US
Telephone Number : 321-437-2475
Fax Number :
Provider Business Practice Location Address
First Line : 2011 NE 60TH ST
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-2127
Country : US
Telephone Number : 321-437-2475
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2021
Last Update Date : 03/15/2021

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Directions to “ KATHERYN KYNN FERRON ” Practice Location

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