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NPI Code Detail

MEDICARE: CIARA WOODS

MEDICARE: CIARA WOODS
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 : 1700390143
Entity Type Code : Individual
Provider Name (Legal Business Name) : CIARA WOODS
Provider Business Mailing Address
First Line : 67 HIKER ST
Second Line :
City : SANTA ROSA BEACH
State : FL
Zip : 32459-8826
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 67 HIKER ST
Second Line :
City : SANTA ROSA BEACH
State : FL
Zip : 32459-8826
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2017
Last Update Date : 11/21/2017

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Directions to “ CIARA WOODS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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