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NPI Code Detail

MEDICARE: MS. NATALIA QUINONES

MEDICARE: MS. NATALIA QUINONES
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-19-104620FL
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1245876564
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NATALIA QUINONES
Provider Business Mailing Address
First Line : 12311 KENSINGTON LAKES DR UNIT 3006
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32246-7199
Country : US
Telephone Number : 407-709-0677
Fax Number :
Provider Business Practice Location Address
First Line : 12735 GRAN BAY PKWY W STE 204
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32258-4499
Country : US
Telephone Number : 888-754-0398
Fax Number : 954-982-6491
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2019
Last Update Date : 10/31/2024

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Directions to “ MS. NATALIA QUINONES ” Practice Location

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