MEDICARE: KY DUPREE STRICKLER 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
1	103K00000X	Behavior Analyst	1-23-67167

General Provider Information

NPI Number	:	1174341317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KY DUPREE STRICKLER BCBA

Provider Business Mailing Address
First Line	:	1436 RICHLAND WAY
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96003-5119
Country	:	US
Telephone Number	:	530-410-7069
Fax Number	:

Provider Business Practice Location Address
First Line	:	1436 RICHLAND WAY
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96003-5119
Country	:	US
Telephone Number	:	530-410-7069
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2024
Last Update Date	:	09/27/2024

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Directions to “ KY DUPREE STRICKLER BCBA” Practice Location

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