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NPI Code Detail

MEDICARE: DELILAH CRANMER MS, LBS, BCBA

MEDICARE: DELILAH CRANMER MS, LBS, 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 AnalystBH002882PA
2103K00000XBehavior Analyst1-18-32460FL

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 : 1134590615
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELILAH CRANMER MS, LBS, BCBA
Provider Business Mailing Address
First Line : 175 MIDDLE ST UNIT 1201
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-3625
Country : US
Telephone Number : 866-610-0580
Fax Number : 407-588-6294
Provider Business Practice Location Address
First Line : 247 SW PORT ST LUCIE BLVD
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34984-5015
Country : US
Telephone Number : 772-207-1356
Fax Number : 772-742-2924
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2015
Last Update Date : 02/21/2019

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