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NPI Code Detail

MEDICARE: EMILY SUE PEPE

MEDICARE: EMILY SUE PEPE
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 AnalystP615-796-31-100-0FL

General Provider Information

NPI Number : 1861342412
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY SUE PEPE
Provider Business Mailing Address
First Line : 10305 BRADMORE RD
Second Line :
City : FORT MYERS
State : FL
Zip : 33913-9815
Country : US
Telephone Number : 239-850-3679
Fax Number :
Provider Business Practice Location Address
First Line : 12438 BRANTLEY COMMONS CT
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-5683
Country : US
Telephone Number : 239-270-5921
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ EMILY SUE PEPE ” Practice Location

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