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NPI Code Detail

MEDICARE: NAOMI FURLONG BCBA

MEDICARE: NAOMI FURLONG 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
1103K00000XBehavior AnalystBEH-000746AZ
2103K00000XBehavior Analyst1-18-30256CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205251089
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAOMI FURLONG BCBA
Provider Business Mailing Address
First Line : 390 UNION BLVD STE 300
Second Line :
City : LAKEWOOD
State : CO
Zip : 80228-6514
Country : US
Telephone Number : 303-989-8169
Fax Number : 303-984-4366
Provider Business Practice Location Address
First Line : 6369 E TANQUE VERDE RD STE 100
Second Line :
City : TUCSON
State : AZ
Zip : 85715-3833
Country : US
Telephone Number : 303-989-8169
Fax Number : 303-984-4366
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2014
Last Update Date : 10/20/2021

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Directions to “ NAOMI FURLONG BCBA” Practice Location

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