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NPI Code Detail

MEDICARE: MRS. PAULA DEGARMO SESIN MS BCBA

MEDICARE: MRS. PAULA DEGARMO SESIN MS 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
1247200000XOther Technician
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1003266214
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAULA DEGARMO SESIN MS BCBA
Provider Business Mailing Address
First Line : 4798 S FLORIDA AVE # 223
Second Line :
City : LAKELAND
State : FL
Zip : 33813-2181
Country : US
Telephone Number : 954-248-0184
Fax Number :
Provider Business Practice Location Address
First Line : 220 GRAND REGENCY BLVD
Second Line :
City : BRANDON
State : FL
Zip : 33510-3935
Country : US
Telephone Number : 954-248-0184
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2016
Last Update Date : 07/08/2025

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