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NPI Code Detail

MEDICARE: MRS. CASEY M MAJEWSKI BCBA

MEDICARE: MRS. CASEY M MAJEWSKI 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1376982595
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CASEY M MAJEWSKI BCBA
Provider Business Mailing Address
First Line : 172 GRANDVIEW DR
Second Line :
City : HINESVILLE
State : GA
Zip : 31313-2830
Country : US
Telephone Number : 912-432-6748
Fax Number :
Provider Business Practice Location Address
First Line : 124 W ML KING JR DR
Second Line :
City : HINESVILLE
State : GA
Zip : 31313-3226
Country : US
Telephone Number : 912-432-6748
Fax Number : 866-467-4321
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2013
Last Update Date : 09/04/2024

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