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NPI Code Detail

MEDICARE: DONNA CHEESEMAN BCBA

MEDICARE: DONNA CHEESEMAN 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 Analyst1-14-17520CA

General Provider Information

NPI Number : 1073901930
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA CHEESEMAN BCBA
Provider Business Mailing Address
First Line : 251 AIRPORT RD
Second Line :
City : OCEANSIDE
State : CA
Zip : 92058-1201
Country : US
Telephone Number : 760-721-1706
Fax Number : 760-721-9872
Provider Business Practice Location Address
First Line : 251 AIRPORT RD
Second Line :
City : OCEANSIDE
State : CA
Zip : 92058-1201
Country : US
Telephone Number : 760-721-1706
Fax Number : 760-721-9872
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2014
Last Update Date : 12/30/2014

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Directions to “ DONNA CHEESEMAN BCBA” Practice Location

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