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NPI Code Detail

MEDICARE: ODALYS BARBARA PADRON VALDES

MEDICARE:   ODALYS BARBARA PADRON VALDES
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 Technician18-58474FL

General Provider Information

NPI Number : 1285272187
Entity Type Code : Individual
Provider Name (Legal Business Name) : ODALYS BARBARA PADRON VALDES
Provider Business Mailing Address
First Line : 20062 NW 66TH PL
Second Line :
City : HIALEAH
State : FL
Zip : 33015-2139
Country : US
Telephone Number : 786-715-3361
Fax Number :
Provider Business Practice Location Address
First Line : 18505 NW 75TH PL
Second Line :
City : HIALEAH
State : FL
Zip : 33015-2961
Country : US
Telephone Number : 786-479-0029
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2019
Last Update Date : 12/11/2019

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Directions to “ ODALYS BARBARA PADRON VALDES ” Practice Location

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