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NPI Code Detail

MEDICARE: ROSEMARY HALE REGISTER BEHAVIOR T

MEDICARE: ROSEMARY HALE REGISTER BEHAVIOR T
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 TechnicianBACB737407FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598424756
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSEMARY HALE REGISTER BEHAVIOR T
Provider Business Mailing Address
First Line : 36 SHELTER COVE CIR
Second Line :
City : BEVERLY BEACH
State : FL
Zip : 32136-2786
Country : US
Telephone Number : 386-338-2909
Fax Number :
Provider Business Practice Location Address
First Line : 8 WILDWOOD LN
Second Line :
City : PALM COAST
State : FL
Zip : 32137-3221
Country : US
Telephone Number : 386-338-2909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2021
Last Update Date : 04/03/2025

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Directions to “ ROSEMARY HALE REGISTER BEHAVIOR T” Practice Location

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