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NPI Code Detail

MEDICARE: EMILY HEFFLINGER

MEDICARE: EMILY HEFFLINGER
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
2103K00000XBehavior Analyst1-24-74632AZ

General Provider Information

NPI Number : 1609530997
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY HEFFLINGER
Provider Business Mailing Address
First Line : 300 INTERNATIONAL PKWY STE 200
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-5028
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3215 W RAY RD
Second Line :
City : CHANDLER
State : AZ
Zip : 85226-2425
Country : US
Telephone Number : 480-893-7685
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2021
Last Update Date : 03/12/2026

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