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NPI Code Detail

MEDICARE: ARLENE A DAVIDSON

MEDICARE: ARLENE A DAVIDSON
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 AnalystBACB1033490FL

General Provider Information

NPI Number : 1194573923
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARLENE A DAVIDSON
Provider Business Mailing Address
First Line : 1500 S DOUGLAS RD STE 230
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-4108
Country : US
Telephone Number : 844-244-1818
Fax Number : 813-354-2715
Provider Business Practice Location Address
First Line : 10150 HIGHLAND MANOR DR STE 200
Second Line :
City : TAMPA
State : FL
Zip : 33610-9712
Country : US
Telephone Number : 863-602-0698
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2024
Last Update Date : 05/31/2026

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