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NPI Code Detail

MEDICARE: DR. JODIE ELIZABETH DEMING PH.D., BCBA-D

MEDICARE:  DR. JODIE ELIZABETH DEMING  PH.D., BCBA-D
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 Analyst

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 : 1205296332
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JODIE ELIZABETH DEMING PH.D., BCBA-D
Provider Business Mailing Address
First Line : 5435 BALBOA BLVD STE 220
Second Line :
City : ENCINO
State : CA
Zip : 91316-1508
Country : US
Telephone Number : 310-993-4499
Fax Number : 310-933-4134
Provider Business Practice Location Address
First Line : 170 COMMERCE WAY STE 200
Second Line :
City : PORTSMOUTH
State : NH
Zip : 03801-3272
Country : US
Telephone Number : 603-609-7600
Fax Number : 603-609-0688
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2016
Last Update Date : 09/13/2021

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