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NPI Code Detail

MEDICARE: CYNTHIA MERCADO

MEDICARE: CYNTHIA MERCADO
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 : 1427775386
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA MERCADO
Provider Business Mailing Address
First Line : 112 THOMAS ST APT C
Second Line :
City : MIDDLETOWN
State : CT
Zip : 06457-3038
Country : US
Telephone Number : 786-750-2051
Fax Number :
Provider Business Practice Location Address
First Line : 77 HARTLAND ST
Second Line :
City : EAST HARTFORD
State : CT
Zip : 06108-6201
Country : US
Telephone Number : 786-750-2051
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2022
Last Update Date : 10/21/2022

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Directions to “ CYNTHIA MERCADO ” Practice Location

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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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