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NPI Code Detail

MEDICARE: PAMELA MCCAULEY

MEDICARE: PAMELA MCCAULEY
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 TechnicianTX
2103K00000XBehavior Analyst1-23-69909TN

General Provider Information

NPI Number : 1609375484
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA MCCAULEY
Provider Business Mailing Address
First Line : 104 CUDE LN
Second Line :
City : MADISON
State : TN
Zip : 37115-2202
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 104 CUDE LN
Second Line :
City : MADISON
State : TN
Zip : 37115-2202
Country : US
Telephone Number : 615-694-5899
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2018
Last Update Date : 05/05/2026

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Directions to “ PAMELA MCCAULEY ” Practice Location

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