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NPI Code Detail

MEDICARE: BEHAVIORAL MEDICINE & BIOFEEDBACK CONSULTANTS INC

MEDICARE: BEHAVIORAL MEDICINE & BIOFEEDBACK CONSULTANTS INC
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
1103TC0700XClinical PsychologistPY3620FL
2103TC0700XClinical PsychologistPY7394FL

General Provider Information

NPI Number : 1518054998
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEHAVIORAL MEDICINE & BIOFEEDBACK CONSULTANTS INC
Provider Business Mailing Address
First Line : 150 SW 12TH AVE
Second Line : SUITE #330
City : POMPANO BEACH
State : FL
Zip : 33069-3298
Country : US
Telephone Number : 954-783-5100
Fax Number : 954-783-5176
Provider Business Practice Location Address
First Line : 150 SW 12TH AVE
Second Line : SUITE #330
City : POMPANO BEACH
State : FL
Zip : 33069-3298
Country : US
Telephone Number : 954-783-5100
Fax Number : 954-783-5176
Authorized Official
Title or Position : DIRECTOR
Name : DR. GARY S. TRAUB
Credential : PH.D.
Telephone Number : 954-783-5100
Provider Enumeration Date : 10/06/2006
Last Update Date : 03/30/2016

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Directions to “BEHAVIORAL MEDICINE & BIOFEEDBACK CONSULTANTS INC ” Practice Location

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