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NPI Code Detail

MEDICARE: SHEENA ESCARFULLER

MEDICARE: SHEENA ESCARFULLER
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 Analyst103K00000XNY
2103K00000XBehavior AnalystP120468NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P120468OTHERNYNEW YORK STATE LIMITED PERMIT TO PRACTICE

General Provider Information

NPI Number : 1669863932
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEENA ESCARFULLER
Provider Business Mailing Address
First Line : 11-42 44TH DRIVE # 12
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101
Country : US
Telephone Number : 646-407-9219
Fax Number :
Provider Business Practice Location Address
First Line : 225 BROADWAY STE 2710
Second Line :
City : NEW YORK
State : NY
Zip : 10007-3032
Country : US
Telephone Number : 646-600-8456
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2015
Last Update Date : 03/03/2023

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