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NPI Code Detail

MEDICARE: ROBERT FOSTER

MEDICARE: ROBERT FOSTER
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 Analyst0-19-10329
2103K00000XBehavior Analyst1-20-45656

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 : 1760839724
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT FOSTER
Provider Business Mailing Address
First Line : 766 SILVER CLOUD CIR APT 106
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-1526
Country : US
Telephone Number : 813-245-0091
Fax Number :
Provider Business Practice Location Address
First Line : 5447 E BEAUMONT CENTER BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33634-5210
Country : US
Telephone Number : 888-754-0398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2016
Last Update Date : 04/18/2022

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