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NPI Code Detail

MEDICARE: ASIF HUSSAIN

MEDICARE: ASIF HUSSAIN
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 Analyst124634FL

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 : 1417347402
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASIF HUSSAIN
Provider Business Mailing Address
First Line : 2033 RICKOVER PL
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-5486
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2033 RICKOVER PL
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-5486
Country : US
Telephone Number : 407-810-5433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2015
Last Update Date : 01/28/2015

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