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NPI Code Detail

MEDICARE: ELIZABETH HOTZ BCBA

MEDICARE: ELIZABETH HOTZ 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1962091637
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH HOTZ BCBA
Provider Business Mailing Address
First Line : 5522 TAYLOR MILL RD
Second Line :
City : TAYLOR MILL
State : KY
Zip : 41015-4604
Country : US
Telephone Number : 859-303-9891
Fax Number :
Provider Business Practice Location Address
First Line : 5522 TAYLOR MILL RD
Second Line :
City : TAYLOR MILL
State : KY
Zip : 41015-4604
Country : US
Telephone Number : 859-303-9891
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2021
Last Update Date : 10/09/2024

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