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NPI Code Detail

MEDICARE: SHARRAH BUMPHUS

MEDICARE: SHARRAH BUMPHUS
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 : 1881341451
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARRAH BUMPHUS
Provider Business Mailing Address
First Line : 21600 OXNARD ST
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-4976
Country : US
Telephone Number : 818-345-2345
Fax Number :
Provider Business Practice Location Address
First Line : 8302 ESPRESSO DR
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93312-5687
Country : US
Telephone Number : 661-777-3351
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2022
Last Update Date : 03/03/2022

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Directions to “ SHARRAH BUMPHUS ” Practice Location

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