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NPI Code Detail

MEDICARE: COYNE & ASSOCIATES EDUCATION CORP

MEDICARE: COYNE & ASSOCIATES EDUCATION CORP
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
1251S00000XCommunity/Behavioral Health Agency
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1164786943
Entity Type Code : Organization
Provider Name (Legal Business Name) : COYNE & ASSOCIATES EDUCATION CORP
Provider Business Mailing Address
First Line : PO BOX 231831
Second Line :
City : ENCINITAS
State : CA
Zip : 92023-1831
Country : US
Telephone Number : 760-634-1125
Fax Number : 760-634-1530
Provider Business Practice Location Address
First Line : 3550 CAMINO DEL RIO N STE 104
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-1738
Country : US
Telephone Number : 760-634-1125
Fax Number : 760-634-1530
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : LEN LEVIN
Credential : PHD
Telephone Number : 760-815-6185
Provider Enumeration Date : 06/27/2012
Last Update Date : 11/09/2022

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Directions to “COYNE & ASSOCIATES EDUCATION CORP ” Practice Location

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