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NPI Code Detail

MEDICARE: ERIKA CALDERON

MEDICARE: ERIKA CALDERON
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023400298
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA CALDERON
Provider Business Mailing Address
First Line : 495 GRAND BLVD STE 206
Second Line :
City : MIRAMAR BEACH
State : FL
Zip : 32550-1897
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 495 GRAND BLVD STE 206
Second Line :
City : MIRAMAR BEACH
State : FL
Zip : 32550-1897
Country : US
Telephone Number : 785-272-4060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2015
Last Update Date : 09/26/2020

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Directions to “ ERIKA CALDERON ” Practice Location

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