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NPI Code Detail

MEDICARE: FAVOR UMEOBI

MEDICARE: FAVOR UMEOBI
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

General Provider Information

NPI Number : 1427724996
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAVOR UMEOBI
Provider Business Mailing Address
First Line : 1500 DOUGLAS RD
Second Line : STE 230
City : CORAL GABLES
State : FL
Zip : 33134-4108
Country : US
Telephone Number : 844-854-1116
Fax Number : 305-846-9711
Provider Business Practice Location Address
First Line : 1651 CROFTON BLVD STE 6
Second Line :
City : CROFTON
State : MD
Zip : 21114-1314
Country : US
Telephone Number : 410-656-6264
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2021
Last Update Date : 08/17/2021

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Directions to “ FAVOR UMEOBI ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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