MEDICARE: MR. JOHN DENNIS ADELINIS M.A., 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
1	103K00000X	Behavior Analyst	1-05-2537	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1396994836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN DENNIS ADELINIS M.A., BCBA

Provider Business Mailing Address
First Line	:	10009 SW 44TH LN
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32608-7134
Country	:	US
Telephone Number	:	352-332-8588
Fax Number	:	352-332-8589

Provider Business Practice Location Address
First Line	:	2035B SW 75TH ST
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32607-3425
Country	:	US
Telephone Number	:	352-332-8588
Fax Number	:	352-332-8589

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2008
Last Update Date	:	09/15/2015

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Directions to “ MR. JOHN DENNIS ADELINIS M.A., BCBA” Practice Location

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