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NPI Code Detail

MEDICARE: MISS ANNA FARWELL

MEDICARE:  MISS ANNA  FARWELL
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 Analyst1-22-61100

General Provider Information

NPI Number : 1639617343
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ANNA FARWELL
Provider Business Mailing Address
First Line : 1500 S DOUGLAS RD STE 230
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-4108
Country : US
Telephone Number : 844-854-1116
Fax Number : 305-846-9711
Provider Business Practice Location Address
First Line : 5500 CHEROKEE AVE STE 120
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22312-2321
Country : US
Telephone Number : 844-854-1116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2017
Last Update Date : 11/21/2022

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Directions to “ MISS ANNA FARWELL ” Practice Location

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