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NPI Code Detail

MEDICARE: GIDEON MCRANEY

MEDICARE: GIDEON MCRANEY
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 TechnicianRBT-26-517767LA

General Provider Information

NPI Number : 1356296750
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIDEON MCRANEY
Provider Business Mailing Address
First Line : 2033 N HIGHWAY 190 STE 10
Second Line :
City : COVINGTON
State : LA
Zip : 70433-8985
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2033 N HIGHWAY 190 STE 10
Second Line :
City : COVINGTON
State : LA
Zip : 70433-8985
Country : US
Telephone Number : 985-590-4549
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ GIDEON MCRANEY ” Practice Location

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