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NPI Code Detail

MEDICARE: APRIL JEFFERSON BCBA

MEDICARE: APRIL JEFFERSON 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
1106S00000XBehavior TechnicianRBT-19-77925
2103K00000XBehavior Analyst1-23-69671FL

Other Identifiers

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

General Provider Information

NPI Number : 1902361595
Entity Type Code : Individual
Provider Name (Legal Business Name) : APRIL JEFFERSON BCBA
Provider Business Mailing Address
First Line : 1105 W RUSSELL ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-1322
Country : US
Telephone Number : 605-271-2690
Fax Number :
Provider Business Practice Location Address
First Line : 1310 OVIEDO MALL BLVD
Second Line :
City : OVIEDO
State : FL
Zip : 32765-7418
Country : US
Telephone Number : 605-271-2690
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2019
Last Update Date : 12/05/2023

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