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NPI Code Detail

MEDICARE: HELEN ROLDAN

MEDICARE:   HELEN  ROLDAN
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 : 1497360390
Entity Type Code : Individual
Provider Name (Legal Business Name) : HELEN ROLDAN
Provider Business Mailing Address
First Line : 6312 ROYAL HUNT DR APT 203
Second Line :
City : TAMPA
State : FL
Zip : 33625-2533
Country : US
Telephone Number : 786-403-0364
Fax Number :
Provider Business Practice Location Address
First Line : 6312 ROYAL HUNT DR APT 203
Second Line :
City : TAMPA
State : FL
Zip : 33625-2533
Country : US
Telephone Number : 786-403-0364
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2020
Last Update Date : 09/09/2020

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Directions to “ HELEN ROLDAN ” Practice Location

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