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NPI Code Detail

MEDICARE: MERIS ABIGAIL HARTLEY

MEDICARE: MERIS ABIGAIL HARTLEY
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 Analyst1-23-69896

General Provider Information

NPI Number : 1861967614
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERIS ABIGAIL HARTLEY
Provider Business Mailing Address
First Line : 7027 CAMINO DEGRAZIA UNIT 208
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-7811
Country : US
Telephone Number : 619-727-3926
Fax Number :
Provider Business Practice Location Address
First Line : 7027 CAMINO DEGRAZIA UNIT 208
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-7811
Country : US
Telephone Number : 619-727-3926
Fax Number : 619-924-7523
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2018
Last Update Date : 05/01/2025

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Directions to “ MERIS ABIGAIL HARTLEY ” Practice Location

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