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NPI Code Detail

MEDICARE: EDWARD ACEVEDO

MEDICARE: EDWARD ACEVEDO
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 Analyst1-25-81437SC

General Provider Information

NPI Number : 1942971965
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD ACEVEDO
Provider Business Mailing Address
First Line : 209 7TH ST FL 3
Second Line :
City : AUGUSTA
State : GA
Zip : 30901-1486
Country : US
Telephone Number : 706-842-5330
Fax Number : 706-842-5340
Provider Business Practice Location Address
First Line : 830 GRACERN RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29210-7629
Country : US
Telephone Number : 706-842-5330
Fax Number : 706-842-5340
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2021
Last Update Date : 05/28/2025

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Directions to “ EDWARD ACEVEDO ” Practice Location

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