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NPI Code Detail

MEDICARE: ERICA ROMERO

MEDICARE: ERICA ROMERO
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1306315635
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA ROMERO
Provider Business Mailing Address
First Line : 32326 CLINTON KEITH RD
Second Line :
City : WILDOMAR
State : CA
Zip : 92595-7317
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 32326 CLINTON KEITH RD
Second Line :
City : WILDOMAR
State : CA
Zip : 92595-7317
Country : US
Telephone Number : 951-528-2148
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2018
Last Update Date : 12/05/2024

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Directions to “ ERICA ROMERO ” Practice Location

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