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NPI Code Detail

MEDICARE: MRS. ROSEMARIE MASCI-YARUS M.S. ED., BCBA, LBA

MEDICARE:  MRS. ROSEMARIE  MASCI-YARUS  M.S. ED., BCBA, LBA
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
1174400000XSpecialistNY
2103K00000XBehavior Analyst1-15-21226GA
3103K00000XBehavior Analyst001208NY

General Provider Information

NPI Number : 1184987380
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROSEMARIE MASCI-YARUS M.S. ED., BCBA, LBA
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number : 855-324-0885
Fax Number : 317-520-8200
Provider Business Practice Location Address
First Line : 4000 SMITHTOWN RD STE 200
Second Line :
City : SUWANEE
State : GA
Zip : 30024-6560
Country : US
Telephone Number : 470-632-4990
Fax Number : 317-520-8200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2012
Last Update Date : 02/08/2023

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Directions to “ MRS. ROSEMARIE MASCI-YARUS M.S. ED., BCBA, LBA” Practice Location

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