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NPI Code Detail

MEDICARE: ERIN M MCMAHON M.S., BCBA, LBA

MEDICARE:   ERIN M MCMAHON  M.S., BCBA, LBA
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 Analyst001388NY

General Provider Information

NPI Number : 1538512785
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN M MCMAHON M.S., BCBA, LBA
Provider Business Mailing Address
First Line : 26 LOCUST ST
Second Line :
City : HUDSON FALLS
State : NY
Zip : 12839-1817
Country : US
Telephone Number : 518-791-0352
Fax Number :
Provider Business Practice Location Address
First Line : 26 LOCUST ST
Second Line :
City : HUDSON FALLS
State : NY
Zip : 12839-1817
Country : US
Telephone Number : 518-791-0352
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2016
Last Update Date : 07/22/2016

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