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NPI Code Detail

MEDICARE: MAYLAN O HILL

MEDICARE:   MAYLAN O HILL
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
1106E00000XAssistant Behavior Analyst
2172V00000XCommunity Health Worker
3172V00000XCommunity Health WorkerCA
4373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1689280794
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYLAN O HILL
Provider Business Mailing Address
First Line : 1085 SANDRINGHAM WAY
Second Line :
City : ROSEVILLE
State : CA
Zip : 95661-5321
Country : US
Telephone Number : 279-900-8768
Fax Number :
Provider Business Practice Location Address
First Line : 1085 SANDRINGHAM WAY
Second Line :
City : ROSEVILLE
State : CA
Zip : 95661-5321
Country : US
Telephone Number :
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2020
Last Update Date : 04/28/2025

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Directions to “ MAYLAN O HILL ” Practice Location

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