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NPI Code Detail

MEDICARE: CHASIDY D MCCLENNEY

MEDICARE: CHASIDY D MCCLENNEY
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 TechnicianFL

General Provider Information

NPI Number : 1326799131
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHASIDY D MCCLENNEY
Provider Business Mailing Address
First Line : 2649 SW 99TH WAY
Second Line :
City : MIRAMAR
State : FL
Zip : 33025-5076
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 350 FAIRWAY DR STE
Second Line :
City : DEERFIELD BCH
State : FL
Zip : 33441-1834
Country : US
Telephone Number : 888-880-9270
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2022
Last Update Date : 01/13/2022

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Directions to “ CHASIDY D MCCLENNEY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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