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NPI Code Detail

MEDICARE: MAURA REEDY M.S., BCBA

MEDICARE:   MAURA  REEDY  M.S., BCBA
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 AnalystBACB 1-08-4481FL

General Provider Information

NPI Number : 1891232724
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAURA REEDY M.S., BCBA
Provider Business Mailing Address
First Line : 6629 80TH AVE N
Second Line :
City : PINELLAS PARK
State : FL
Zip : 33781-2061
Country : US
Telephone Number : 727-278-6889
Fax Number :
Provider Business Practice Location Address
First Line : 2600 DR MARTIN LUTHER KING JR ST N STE 401
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33704-2744
Country : US
Telephone Number : 727-327-2457
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2017
Last Update Date : 01/30/2017

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Directions to “ MAURA REEDY M.S., BCBA” Practice Location

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