MEDICARE: FELICIA MARIE TITUS

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	106S00000X	Behavior Technician
2	106S00000X	Behavior Technician	S28760180	MA

General Provider Information

NPI Number	:	1447844196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FELICIA MARIE TITUS

Provider Business Mailing Address
First Line	:	5850 GRANITE PKWY STE 600
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-6753
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	CENTER FOR AUTISM AND RELATED DISORDERS, LLC.
Second Line	:	100 CUMMINGS CENTER, SUITE 320 A&B,
City	:	BEVERLY
State	:	MA
Zip	:	01915-0191
Country	:	US
Telephone Number	:	978-867-0431
Fax Number	:

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

Provider Enumeration Date	:	02/23/2021
Last Update Date	:	12/07/2022

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Directions to “ FELICIA MARIE TITUS ” Practice Location

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