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NPI Code Detail

MEDICARE: LAURA SWICORD BCBA

MEDICARE: LAURA SWICORD 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 Analyst1-19-37220AL

General Provider Information

NPI Number : 1982194064
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA SWICORD BCBA
Provider Business Mailing Address
First Line : PO BOX 259
Second Line :
City : SHALIMAR
State : FL
Zip : 32579-0259
Country : US
Telephone Number : 334-596-6912
Fax Number :
Provider Business Practice Location Address
First Line : 3355 ADDISON DR STE A
Second Line :
City : PENSACOLA
State : FL
Zip : 32514-7065
Country : US
Telephone Number : 859-362-6824
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2018
Last Update Date : 05/27/2025

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Directions to “ LAURA SWICORD BCBA” Practice Location

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