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NPI Code Detail

MEDICARE: HEARTLEY HUBER PHD

MEDICARE: HEARTLEY HUBER PHD
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 Analyst0133000890VA

General Provider Information

NPI Number : 1427573641
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEARTLEY HUBER PHD
Provider Business Mailing Address
First Line : 201 BULIFANTS BLVD STE A
Second Line :
City : WILLIAMSBURG
State : VA
Zip : 23188-5731
Country : US
Telephone Number : 757-585-3216
Fax Number :
Provider Business Practice Location Address
First Line : 201 BULIFANTS BLVD STE A
Second Line :
City : WILLIAMSBURG
State : VA
Zip : 23188-5731
Country : US
Telephone Number : 757-585-3216
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2017
Last Update Date : 07/21/2022

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Directions to “ HEARTLEY HUBER PHD” Practice Location

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