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NPI Code Detail

MEDICARE: JUDITH EARLS BCBA

MEDICARE: JUDITH EARLS 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 Analyst1-01-0586FL
2103K00000XBehavior 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 : 1235389065
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDITH EARLS BCBA
Provider Business Mailing Address
First Line : 2928 WELLINGTON CIR STE 201
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32309-6879
Country : US
Telephone Number : 850-521-0242
Fax Number : 850-521-1973
Provider Business Practice Location Address
First Line : 2928 WELLINGTON CIR STE 201
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32309-6879
Country : US
Telephone Number : 850-521-0242
Fax Number : 850-521-1973
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2008
Last Update Date : 12/10/2025

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