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NPI Code Detail

MEDICARE: MCCAILI GIAUQUE MS

MEDICARE: MCCAILI GIAUQUE MS
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 : 1780299222
Entity Type Code : Individual
Provider Name (Legal Business Name) : MCCAILI GIAUQUE MS
Provider Business Mailing Address
First Line : 3813 CARIBOU DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-3526
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 912 DRIFTWOOD DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-3106
Country : US
Telephone Number : 970-460-3495
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2020
Last Update Date : 01/23/2024

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Directions to “ MCCAILI GIAUQUE MS” Practice Location

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