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NPI Code Detail

MEDICARE: JAYME FUSCO

MEDICARE: JAYME FUSCO
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

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 : 1760865489
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYME FUSCO
Provider Business Mailing Address
First Line : 730 SW 4TH ST STE 6
Second Line :
City : CAPE CORAL
State : FL
Zip : 33991-1984
Country : US
Telephone Number : 239-910-0712
Fax Number :
Provider Business Practice Location Address
First Line : 730 SW 4TH ST STE 6
Second Line :
City : CAPE CORAL
State : FL
Zip : 33991-1984
Country : US
Telephone Number : 239-910-0712
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2015
Last Update Date : 03/25/2022

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Directions to “ JAYME FUSCO ” Practice Location

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