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NPI Code Detail

MEDICARE: GENESIS E INKUMSAH

MEDICARE:   GENESIS E INKUMSAH
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
1106S00000XBehavior Technician26-518324FL

General Provider Information

NPI Number : 1477409274
Entity Type Code : Individual
Provider Name (Legal Business Name) : GENESIS E INKUMSAH
Provider Business Mailing Address
First Line : 281 LIGHTHOUSE COVE CT APT 204
Second Line :
City : OCOEE
State : FL
Zip : 34761-4831
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5959 LAKE ELLENOR DR
Second Line :
City : ORLANDO
State : FL
Zip : 32809-4633
Country : US
Telephone Number : 321-972-4039
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2026
Last Update Date : 03/05/2026

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Directions to “ GENESIS E INKUMSAH ” Practice Location

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