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NPI Code Detail

MEDICARE: CASEY WHITE BCBA

MEDICARE: CASEY WHITE 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1598349730
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASEY WHITE BCBA
Provider Business Mailing Address
First Line : 350 FAIRWAY DR STE 101
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-1834
Country : US
Telephone Number : 877-418-2978
Fax Number : 866-500-2186
Provider Business Practice Location Address
First Line : 260 PEACHTREE ST NW STE 2200
Second Line :
City : ATLANTA
State : GA
Zip : 30303-1292
Country : US
Telephone Number : 877-418-2978
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2021
Last Update Date : 06/09/2026

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