MEDICARE: LILYANNA BORDADOR

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
1	106S00000X	Behavior Technician		MD

General Provider Information

NPI Number	:	1073465225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILYANNA BORDADOR

Provider Business Mailing Address
First Line	:	175 BELGROVE DR
Second Line	:
City	:	KEARNY
State	:	NJ
Zip	:	07032-1507
Country	:	US
Telephone Number	:	443-305-6203
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 REDLAND CT
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-3264
Country	:	US
Telephone Number	:	201-979-1336
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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Directions to “ LILYANNA BORDADOR ” Practice Location

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