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NPI Code Detail

MEDICARE: NATHALIE POCRAIN BCBA

MEDICARE: NATHALIE POCRAIN BCBA
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 Analyst1-15-20016FL

General Provider Information

NPI Number : 1659741460
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHALIE POCRAIN BCBA
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 : 866-610-0580
Fax Number : 407-588-6294
Provider Business Practice Location Address
First Line : 105 GRAND CENTRAL BLVD STE 101
Second Line :
City : POOLER
State : GA
Zip : 31322-4146
Country : US
Telephone Number : 470-394-0004
Fax Number : 470-241-1269
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2015
Last Update Date : 02/16/2022

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Directions to “ NATHALIE POCRAIN BCBA” Practice Location

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