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NPI Code Detail

MEDICARE: MRS. JANICE GABOURY PULCINI M.A., BCBA

MEDICARE: MRS. JANICE GABOURY PULCINI M.A., 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
1222Q00000XDevelopmental Therapist
2103K00000XBehavior Analyst1-04-1675FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
185824OTHERFLEARLY STEPS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316077399
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANICE GABOURY PULCINI M.A., BCBA
Provider Business Mailing Address
First Line : 1408 NW 6TH ST
Second Line :
City : GAINESVILLE
State : FL
Zip : 32601-4020
Country : US
Telephone Number : 352-373-4411
Fax Number : 352-373-4455
Provider Business Practice Location Address
First Line : 1408 NW 6TH ST
Second Line :
City : GAINESVILLE
State : FL
Zip : 32601-4020
Country : US
Telephone Number : 352-373-4411
Fax Number : 352-373-4455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 09/26/2017

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