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NPI Code Detail

MEDICARE: NATALIE WOODWARD M.SP.ED.

MEDICARE: NATALIE WOODWARD M.SP.ED.
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 Analyst1-14-16738PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11-14-16738OTHERPABCBA CERTIFICATION

General Provider Information

NPI Number : 1568870228
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE WOODWARD M.SP.ED.
Provider Business Mailing Address
First Line : 6900 HAMILTON BLVD
Second Line : UNIT 285 PMB 313
City : TREXLERTOWN
State : PA
Zip : 18087-9080
Country : US
Telephone Number : 484-221-9695
Fax Number :
Provider Business Practice Location Address
First Line : 6900 HAMILTON BLVD
Second Line :
City : TREXLERTOWN
State : PA
Zip : 18087-9101
Country : US
Telephone Number : 484-221-9695
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2014
Last Update Date : 07/21/2022

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