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NPI Code Detail

MEDICARE: RAPHAEL ALFONSO FLORES

MEDICARE:   RAPHAEL ALFONSO FLORES
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
1106E00000XAssistant Behavior Analyst

General Provider Information

NPI Number : 1275290975
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAPHAEL ALFONSO FLORES
Provider Business Mailing Address
First Line : 16466 DENHAVEN CT
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-6176
Country : US
Telephone Number : 760-596-2546
Fax Number :
Provider Business Practice Location Address
First Line : 16466 DENHAVEN CT
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-6176
Country : US
Telephone Number : 760-596-2546
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2021
Last Update Date : 11/17/2021

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Directions to “ RAPHAEL ALFONSO FLORES ” Practice Location

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