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NPI Code Detail

MEDICARE: ERIKA HARPER BCBA

MEDICARE: ERIKA HARPER 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 Technician
2103K00000XBehavior Analyst1-21-49864FL

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 : 1912441494
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA HARPER BCBA
Provider Business Mailing Address
First Line : 13553 ATLANTIC BLVD STE 100
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32225-4227
Country : US
Telephone Number : 904-420-7030
Fax Number :
Provider Business Practice Location Address
First Line : 13553 ATLANTIC BLVD STE 100
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32225-4227
Country : US
Telephone Number : 904-420-7030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2016
Last Update Date : 05/20/2021

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