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NPI Code Detail

MEDICARE: MRS. VICTORIA BEAMAN BCBA

MEDICARE: MRS. VICTORIA BEAMAN 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 Analyst1-16-24134FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073058756
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VICTORIA BEAMAN BCBA
Provider Business Mailing Address
First Line : 6479 CAROLINE ST
Second Line :
City : MILTON
State : FL
Zip : 32570-4502
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6479 CAROLINE ST
Second Line :
City : MILTON
State : FL
Zip : 32570-4502
Country : US
Telephone Number : 850-607-6910
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2017
Last Update Date : 10/02/2023

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Directions to “ MRS. VICTORIA BEAMAN BCBA” Practice Location

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