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NPI Code Detail

MEDICARE: MICHAEL DAVID WHITE JR.

MEDICARE: MICHAEL DAVID WHITE JR.
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1154273076
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL DAVID WHITE JR.
Provider Business Mailing Address
First Line : 7108 S KANNER HWY
Second Line :
City : STUART
State : FL
Zip : 34997-7462
Country : US
Telephone Number : 304-859-2044
Fax Number :
Provider Business Practice Location Address
First Line : 3950 SUNFOREST CT FL 2
Second Line :
City : TOLEDO
State : OH
Zip : 43623-4485
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2026
Last Update Date : 02/12/2026

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