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NPI Code Detail

MEDICARE: MEACHA LYNN COON

MEDICARE: MEACHA LYNN COON
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 Analyst1-21-48459FL

General Provider Information

NPI Number : 1811573546
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEACHA LYNN COON
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number : 553-240-8858
Fax Number : 317-520-8200
Provider Business Practice Location Address
First Line : 2807 SYCAMORE ST UNIT 100
Second Line :
City : NORTH PORT
State : FL
Zip : 34289-9507
Country : US
Telephone Number : 941-278-5266
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2021
Last Update Date : 05/29/2024

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Directions to “ MEACHA LYNN COON ” Practice Location

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