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NPI Code Detail

MEDICARE: ESMERALDA APODACA M.S., BCBA, LBA

MEDICARE: ESMERALDA APODACA M.S., BCBA, LBA
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 Technician
2103K00000XBehavior Analyst7052TX

General Provider Information

NPI Number : 1407424138
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESMERALDA APODACA M.S., BCBA, LBA
Provider Business Mailing Address
First Line : 27777 INKSTER RD STE 100
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48334-5312
Country : US
Telephone Number : 248-436-4400
Fax Number :
Provider Business Practice Location Address
First Line : 1301 CENTRAL EXPY S STE 230
Second Line :
City : ALLEN
State : TX
Zip : 75013-8122
Country : US
Telephone Number : 855-772-8847
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2021
Last Update Date : 06/11/2024

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