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NPI Code Detail

MEDICARE: STEFANY RODRIGUEZ MORALES

MEDICARE:   STEFANY  RODRIGUEZ MORALES
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 TechnicianRBT-24-362790FL

General Provider Information

NPI Number : 1154124196
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFANY RODRIGUEZ MORALES
Provider Business Mailing Address
First Line : 805 PLEASANT BAY LN APT 201
Second Line :
City : KISSIMMEE
State : FL
Zip : 34741-0723
Country : US
Telephone Number : 863-612-8177
Fax Number :
Provider Business Practice Location Address
First Line : 1626 RIO COVE CT
Second Line :
City : ORLANDO
State : FL
Zip : 32825-8315
Country : US
Telephone Number : 407-431-0520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2025
Last Update Date : 03/27/2025

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Directions to “ STEFANY RODRIGUEZ MORALES ” Practice Location

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