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NPI Code Detail

MEDICARE: JORDAN CULPEPPER

MEDICARE: JORDAN CULPEPPER
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 Analyst0-20-11069FL
2106E00000XAssistant Behavior Analyst0-20-11069FL
3106S00000XBehavior TechnicianRBT-16-21431FL
4103K00000XBehavior Analyst1-24-70859FL

General Provider Information

NPI Number : 1801250097
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN CULPEPPER
Provider Business Mailing Address
First Line : 166 FAIRMONT DR
Second Line :
City : SPRING HILL
State : FL
Zip : 34609-2048
Country : US
Telephone Number : 407-280-1220
Fax Number :
Provider Business Practice Location Address
First Line : 18288 N US HIGHWAY 41
Second Line :
City : LUTZ
State : FL
Zip : 33549-4400
Country : US
Telephone Number : 813-527-9638
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2016
Last Update Date : 02/09/2024

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Directions to “ JORDAN CULPEPPER ” Practice Location

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