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NPI Code Detail

MEDICARE: VOCATIONAL DEVELOPMENT GROUP

MEDICARE: VOCATIONAL DEVELOPMENT GROUP
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 : 1518566009
Entity Type Code : Organization
Provider Name (Legal Business Name) : VOCATIONAL DEVELOPMENT GROUP
Provider Business Mailing Address
First Line : 6416 NW 5TH WAY
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33309-6112
Country : US
Telephone Number : 888-754-0398
Fax Number : 954-982-6491
Provider Business Practice Location Address
First Line : 9053 HARLAN ST STE 90
Second Line :
City : WESTMINSTER
State : CO
Zip : 80031-2908
Country : US
Telephone Number : 888-754-0398
Fax Number : 954-982-6491
Authorized Official
Title or Position : CONTRACTING DIRECTOR
Name : KATE RAGER
Credential :
Telephone Number : 954-329-2678
Provider Enumeration Date : 10/26/2020
Last Update Date : 10/26/2020

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Directions to “VOCATIONAL DEVELOPMENT GROUP ” Practice Location

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