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NPI Code Detail

MEDICARE: ALEXANDER COKER

MEDICARE: ALEXANDER COKER
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
1106E00000XAssistant Behavior Analyst
2103K00000XBehavior Analyst1-24-75509FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396294138
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER COKER
Provider Business Mailing Address
First Line : 15960 W WIND CIR
Second Line :
City : SUNRISE
State : FL
Zip : 33326-2166
Country : US
Telephone Number : 954-654-9156
Fax Number :
Provider Business Practice Location Address
First Line : 10081 NW 3RD CT
Second Line :
City : PLANTATION
State : FL
Zip : 33324-7049
Country : US
Telephone Number : 954-236-4631
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2016
Last Update Date : 09/07/2024

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Directions to “ ALEXANDER COKER ” Practice Location

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