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NPI Code Detail

MEDICARE: MICHAELA EFFLANDT

MEDICARE: MICHAELA EFFLANDT
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 Analyst0133003283VA

General Provider Information

NPI Number : 1285408948
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAELA EFFLANDT
Provider Business Mailing Address
First Line : 911 STURBRIDGE DR
Second Line :
City : RICHMOND
State : VA
Zip : 23236-3700
Country : US
Telephone Number : 804-897-1753
Fax Number :
Provider Business Practice Location Address
First Line : 911 STURBRIDGE DR
Second Line :
City : RICHMOND
State : VA
Zip : 23236-3700
Country : US
Telephone Number : 804-897-1753
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2023
Last Update Date : 11/13/2023

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Directions to “ MICHAELA EFFLANDT ” Practice Location

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