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NPI Code Detail

MEDICARE: JENNIFER HARE

MEDICARE: JENNIFER HARE
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 : 1669290847
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER HARE
Provider Business Mailing Address
First Line : 18401 TIMBER FOREST DR # DT
Second Line :
City : ATASCOCITA
State : TX
Zip : 77346-2535
Country : US
Telephone Number : 281-624-5093
Fax Number :
Provider Business Practice Location Address
First Line : 18401 TIMBER FOREST DR
Second Line :
City : ATASCOCITA
State : TX
Zip : 77346-2535
Country : US
Telephone Number : 281-624-5093
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2024
Last Update Date : 09/27/2024

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Directions to “ JENNIFER HARE ” Practice Location

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