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NPI Code Detail

MEDICARE: ANTARA HOSSAIN RBT

MEDICARE: ANTARA HOSSAIN RBT
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 Technician

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 : 1548814403
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTARA HOSSAIN RBT
Provider Business Mailing Address
First Line : 2154 CENTRAL FLORIDA PKWY STE B2
Second Line :
City : ORLANDO
State : FL
Zip : 32837-8986
Country : US
Telephone Number : 407-674-7670
Fax Number : 407-674-7549
Provider Business Practice Location Address
First Line : 2154 CENTRAL FLORIDA PKWY STE B2
Second Line :
City : ORLANDO
State : FL
Zip : 32837-8986
Country : US
Telephone Number : 407-674-7670
Fax Number : 407-674-7549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2019
Last Update Date : 07/30/2019

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Directions to “ ANTARA HOSSAIN RBT” Practice Location

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