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NPI Code Detail

MEDICARE: WHITNEY LYNN HURDLE BCBA

MEDICARE: WHITNEY LYNN HURDLE 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 Analyst1-25-79271NC

General Provider Information

NPI Number : 1205478666
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY LYNN HURDLE BCBA
Provider Business Mailing Address
First Line : 210 TALS ROCK WAY STE 3
Second Line :
City : CARY
State : NC
Zip : 27519-1919
Country : US
Telephone Number : 252-333-5932
Fax Number :
Provider Business Practice Location Address
First Line : 210 TALS ROCK WAY STE 3
Second Line :
City : CARY
State : NC
Zip : 27519-1919
Country : US
Telephone Number : 252-689-6645
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2019
Last Update Date : 02/12/2025

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