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NPI Code Detail

MEDICARE: CANDACE TRAWICK

MEDICARE:   CANDACE  TRAWICK
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 TechnicianFL

General Provider Information

NPI Number : 1508720657
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDACE TRAWICK
Provider Business Mailing Address
First Line : 7928 RED BEAN DR
Second Line :
City : PENSACOLA
State : FL
Zip : 32526-2925
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7928 RED BEAN DR
Second Line :
City : PENSACOLA
State : FL
Zip : 32526-2925
Country : US
Telephone Number : 850-619-2682
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2025
Last Update Date : 12/12/2025

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Directions to “ CANDACE TRAWICK ” Practice Location

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