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NPI Code Detail

MEDICARE: KATHLEEN FLOOD

MEDICARE: KATHLEEN FLOOD
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 Analyst

General Provider Information

NPI Number : 1700392958
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN FLOOD
Provider Business Mailing Address
First Line : 1 FOREST CT
Second Line :
City : MORRIS PLAINS
State : NJ
Zip : 07950-2514
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 FOREST CT
Second Line :
City : MORRIS PLAINS
State : NJ
Zip : 07950-2514
Country : US
Telephone Number : 908-268-7974
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2017
Last Update Date : 12/26/2017

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Directions to “ KATHLEEN FLOOD ” Practice Location

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