MEDICARE: VANESSA MCGEE

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
1	106E00000X	Assistant Behavior Analyst	0-22-13931	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861084618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VANESSA MCGEE

Provider Business Mailing Address
First Line	:	36660 SPANISH ROSE DR
Second Line	:
City	:	DADE CITY
State	:	FL
Zip	:	33525-4543
Country	:	US
Telephone Number	:	813-507-4936
Fax Number	:

Provider Business Practice Location Address
First Line	:	5628 36TH AVE N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33710-1914
Country	:	US
Telephone Number	:	813-507-4936
Fax Number	:	941-485-0519

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2021
Last Update Date	:	09/18/2024

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Directions to “ VANESSA MCGEE ” Practice Location

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