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NPI Code Detail

MEDICARE: CAROL EGER GELLER AND ASSOCIATES, LLC

MEDICARE: CAROL EGER GELLER AND ASSOCIATES, LLC
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 AnalystFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891194106
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAROL EGER GELLER AND ASSOCIATES, LLC
Provider Business Mailing Address
First Line : 10081 NW 3RD CT
Second Line :
City : PLANTATION
State : FL
Zip : 33324-7049
Country : US
Telephone Number : 954-236-4631
Fax Number : 954-320-7873
Provider Business Practice Location Address
First Line : 10081 NW 3RD CT
Second Line :
City : PLANTATION
State : FL
Zip : 33324-7049
Country : US
Telephone Number : 954-236-4631
Fax Number : 954-320-7873
Authorized Official
Title or Position : BCBA
Name : MS. CAROL EGER GELLER
Credential : M.A.
Telephone Number : 954-236-4631
Provider Enumeration Date : 08/22/2014
Last Update Date : 08/22/2014

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