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NPI Code Detail

MEDICARE: EMMA CARNEY

MEDICARE: EMMA CARNEY
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1295666592
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA CARNEY
Provider Business Mailing Address
First Line : 3661 CENTRAL AVE
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-8218
Country : US
Telephone Number : 239-245-8761
Fax Number :
Provider Business Practice Location Address
First Line : 3661 CENTRAL AVE
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-8218
Country : US
Telephone Number : 239-245-8761
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “ EMMA CARNEY ” Practice Location

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