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NPI Code Detail

MEDICARE: DEJA HOWARD

MEDICARE: DEJA HOWARD
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 : 1730808841
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEJA HOWARD
Provider Business Mailing Address
First Line : 2207 RAM RD
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-9817
Country : US
Telephone Number : 336-512-4658
Fax Number :
Provider Business Practice Location Address
First Line : 606 E DAVIS ST
Second Line :
City : BURLINGTON
State : NC
Zip : 27215-5922
Country : US
Telephone Number : 336-513-8550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2022
Last Update Date : 02/02/2023

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Directions to “ DEJA HOWARD ” Practice Location

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