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NPI Code Detail

MEDICARE: JENNIFER DENEZIER

MEDICARE:   JENNIFER  DENEZIER
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

General Provider Information

NPI Number : 1659824407
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER DENEZIER
Provider Business Mailing Address
First Line : 4917 ELI ST
Second Line :
City : ORLANDO
State : FL
Zip : 32804-1717
Country : US
Telephone Number : 407-808-7837
Fax Number : 407-494-6057
Provider Business Practice Location Address
First Line : 4917 ELI ST
Second Line :
City : ORLANDO
State : FL
Zip : 32804-1717
Country : US
Telephone Number : 407-808-7837
Fax Number : 407-494-6057
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2016
Last Update Date : 05/17/2019

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Directions to “ JENNIFER DENEZIER ” Practice Location

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