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NPI Code Detail

MEDICARE: MR. PAUL R HUNTER M.A. ED.S. BCBA

MEDICARE: MR. PAUL R HUNTER M.A. ED.S. 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1437403540
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL R HUNTER M.A. ED.S. BCBA
Provider Business Mailing Address
First Line : 4855 LINCOLN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90042-1607
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4855 LINCOLN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90042-1607
Country : US
Telephone Number : 323-369-4145
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2012
Last Update Date : 10/29/2012

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