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NPI Code Detail

MEDICARE: MRS. SHAMARLA TEAKE HUTCHINSON BCBA

MEDICARE: MRS. SHAMARLA TEAKE HUTCHINSON BCBA
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
1106E00000XAssistant Behavior Analyst0-24-15117FL
2103K00000XBehavior Analyst1-25-79741FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518556133
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHAMARLA TEAKE HUTCHINSON BCBA
Provider Business Mailing Address
First Line : 1008 GREEN PINE BLVD APT H1
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33409-7019
Country : US
Telephone Number : 754-367-1087
Fax Number :
Provider Business Practice Location Address
First Line : 1696 S MILITARY TRL STE C
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33415-5625
Country : US
Telephone Number : 561-284-6534
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2021
Last Update Date : 03/05/2025

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Directions to “ MRS. SHAMARLA TEAKE HUTCHINSON BCBA” Practice Location

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