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NPI Code Detail

MEDICARE: RASHAUNA SEYMORE

MEDICARE:   RASHAUNA  SEYMORE
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 : 1962287391
Entity Type Code : Individual
Provider Name (Legal Business Name) : RASHAUNA SEYMORE
Provider Business Mailing Address
First Line : 2263 BALTIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90810-3560
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2263 BALTIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90810-3560
Country : US
Telephone Number : 562-235-3168
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2023
Last Update Date : 08/24/2023

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Directions to “ RASHAUNA SEYMORE ” Practice Location

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