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NPI Code Detail

MEDICARE: EMILY E OGBORN

MEDICARE: EMILY E OGBORN
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 AnalystFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750097853
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY E OGBORN
Provider Business Mailing Address
First Line : 4072 MERRILLVILLE DR
Second Line :
City : WEST MELBOURNE
State : FL
Zip : 32904-6267
Country : US
Telephone Number : 321-298-6888
Fax Number :
Provider Business Practice Location Address
First Line : 5240 BABCOCK ST NE STE 105
Second Line :
City : PALM BAY
State : FL
Zip : 32905-4615
Country : US
Telephone Number : 321-750-9803
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2023
Last Update Date : 12/17/2025

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