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NPI Code Detail

MEDICARE: MRS. AMY DANNEMILLER

MEDICARE: MRS. AMY DANNEMILLER
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 : 1164925103
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMY DANNEMILLER
Provider Business Mailing Address
First Line : 5000 SAINT GERMAIN AVE
Second Line :
City : BELLE ISLE
State : FL
Zip : 32812-1144
Country : US
Telephone Number : 407-927-8957
Fax Number :
Provider Business Practice Location Address
First Line : 1227 FLOWERS POINTE LN
Second Line :
City : ORLANDO
State : FL
Zip : 32825-5520
Country : US
Telephone Number : 407-620-0335
Fax Number : 407-264-6482
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2018
Last Update Date : 03/15/2018

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