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NPI Code Detail

MEDICARE: MR. RICHARD DANIEL BCBA

MEDICARE: MR. RICHARD DANIEL BCBA
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 : 1831812478
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICHARD DANIEL BCBA
Provider Business Mailing Address
First Line : 14565 SIMS RD
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33484-8549
Country : US
Telephone Number : 561-494-4499
Fax Number :
Provider Business Practice Location Address
First Line : 14565 SIMS RD
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33484-8549
Country : US
Telephone Number : 561-494-4499
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2022
Last Update Date : 04/20/2026

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