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NPI Code Detail

MEDICARE: CAULA MATTHEW

MEDICARE:   CAULA  MATTHEW
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 : 1417415969
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAULA MATTHEW
Provider Business Mailing Address
First Line : 1251 E 82ND ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-4930
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1251 E 82ND ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-4930
Country : US
Telephone Number : 347-806-6776
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2019
Last Update Date : 03/04/2019

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Directions to “ CAULA MATTHEW ” Practice Location

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