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NPI Code Detail

MEDICARE: ANDREA D GERE

MEDICARE: ANDREA D GERE
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

General Provider Information

NPI Number : 1225671472
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA D GERE
Provider Business Mailing Address
First Line : 2846 SHEPHERDS WAY
Second Line :
City : WASHINGTON
State : IN
Zip : 47501-8032
Country : US
Telephone Number : 812-449-1147
Fax Number :
Provider Business Practice Location Address
First Line : 11401 BLUEGRASS PKWY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40299-2349
Country : US
Telephone Number : 888-515-1793
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2019
Last Update Date : 10/21/2019

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