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NPI Code Detail

MEDICARE: MR. CHRISTIAN GUSTAVO CARRION FELIX BCBA

MEDICARE: MR. CHRISTIAN GUSTAVO CARRION FELIX BCBA
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467929455
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTIAN GUSTAVO CARRION FELIX BCBA
Provider Business Mailing Address
First Line : 3456 PINE RIBBON DR
Second Line :
City : LAND O LAKES
State : FL
Zip : 34638-7525
Country : US
Telephone Number : 813-944-8694
Fax Number :
Provider Business Practice Location Address
First Line : 609 W WATERS AVE
Second Line :
City : TAMPA
State : FL
Zip : 33604-2901
Country : US
Telephone Number : 813-944-8694
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2018
Last Update Date : 06/29/2022

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