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NPI Code Detail

MEDICARE: CLAIRE OKEEFE

MEDICARE: CLAIRE OKEEFE
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

General Provider Information

NPI Number : 1942930037
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAIRE OKEEFE
Provider Business Mailing Address
First Line : 6300 LAKESHORE DR
Second Line :
City : LAGO VISTA
State : TX
Zip : 78645-5261
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6300 LAKESHORE DR
Second Line :
City : LAGO VISTA
State : TX
Zip : 78645-5261
Country : US
Telephone Number : 406-599-5893
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2022
Last Update Date : 06/13/2022

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Directions to “ CLAIRE OKEEFE ” Practice Location

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