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NPI Code Detail

MEDICARE: FARAH MICHELLE KLEIN

MEDICARE: FARAH MICHELLE KLEIN
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 : 1316295702
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARAH MICHELLE KLEIN
Provider Business Mailing Address
First Line : 13337 LEWIS GALLAGHER RD
Second Line :
City : DOVER
State : FL
Zip : 33527-4525
Country : US
Telephone Number : 813-416-8495
Fax Number :
Provider Business Practice Location Address
First Line : 4144 N ARMENIA AVE STE 350
Second Line :
City : TAMPA
State : FL
Zip : 33607-6434
Country : US
Telephone Number : 813-872-8521
Fax Number : 813-874-1350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2012
Last Update Date : 08/16/2012

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Directions to “ FARAH MICHELLE KLEIN ” Practice Location

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