MEDICARE: NADIA MARIA IZQUIERDO

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
1	103K00000X	Behavior Analyst	1-26-87968	FL

General Provider Information

NPI Number	:	1427839257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADIA MARIA IZQUIERDO

Provider Business Mailing Address
First Line	:	8405 BARRETT PL
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33617-6913
Country	:	US
Telephone Number	:	813-898-0014
Fax Number	:

Provider Business Practice Location Address
First Line	:	8405 BARRETT PL
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33617-6913
Country	:	US
Telephone Number	:	813-898-0014
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2023
Last Update Date	:	03/20/2026

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