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NPI Code Detail

MEDICARE: JACQUELINE MASEDA

MEDICARE:   JACQUELINE  MASEDA
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 TechnicianFL

General Provider Information

NPI Number : 1083405468
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE MASEDA
Provider Business Mailing Address
First Line : 2310 NE 33RD TER
Second Line :
City : CAPE CORAL
State : FL
Zip : 33909-3231
Country : US
Telephone Number : 239-745-0481
Fax Number :
Provider Business Practice Location Address
First Line : 2310 NE 33RD TER
Second Line :
City : CAPE CORAL
State : FL
Zip : 33909-3231
Country : US
Telephone Number : 239-745-0481
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2025
Last Update Date : 03/10/2026

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Directions to “ JACQUELINE MASEDA ” Practice Location

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