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NPI Code Detail

MEDICARE: CARL CULPEPPER

MEDICARE:   CARL  CULPEPPER
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 : 1477984276
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARL CULPEPPER
Provider Business Mailing Address
First Line : 2036 JESSE SCOTT ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-2159
Country : US
Telephone Number : 702-788-2736
Fax Number :
Provider Business Practice Location Address
First Line : 2036 JESSE SCOTT ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-2159
Country : US
Telephone Number : 702-788-2736
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2013
Last Update Date : 12/03/2013

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Directions to “ CARL CULPEPPER ” Practice Location

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