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NPI Code Detail

MEDICARE: LEARNING THROUGH BEHAVIOR

MEDICARE: LEARNING THROUGH BEHAVIOR
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
1106E00000XAssistant Behavior Analyst

General Provider Information

NPI Number : 1629502117
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEARNING THROUGH BEHAVIOR
Provider Business Mailing Address
First Line : 1200 E STAN SCHLUETER LOOP
Second Line : SUITE 107
City : KILLEEN
State : TX
Zip : 76542-5481
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1200 E STAN SCHLUETER LOOP
Second Line : SUITE 107
City : KILLEEN
State : TX
Zip : 76542-5481
Country : US
Telephone Number : 727-278-2479
Fax Number :
Authorized Official
Title or Position : QASPS
Name : APRIL FEDEROFF
Credential :
Telephone Number : 931-249-8386
Provider Enumeration Date : 04/12/2017
Last Update Date : 04/12/2017

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Directions to “LEARNING THROUGH BEHAVIOR ” Practice Location

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