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NPI Code Detail

MEDICARE: IMANI BELL

MEDICARE: IMANI BELL
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
1106E00000XAssistant Behavior Analyst
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1164112793
Entity Type Code : Individual
Provider Name (Legal Business Name) : IMANI BELL
Provider Business Mailing Address
First Line : 7108 S KANNER HWY
Second Line :
City : STUART
State : FL
Zip : 34997-7462
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2865 SUNRISE BLVD STE 112
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95742-6108
Country : US
Telephone Number : 805-778-8735
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2023
Last Update Date : 10/28/2024

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Directions to “ IMANI BELL ” Practice Location

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