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NPI Code Detail

MEDICARE: LUCYBEL MENDEZ

MEDICARE:   LUCYBEL  MENDEZ
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

General Provider Information

NPI Number : 1508208711
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCYBEL MENDEZ
Provider Business Mailing Address
First Line : 18311 SW 149TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33187-1733
Country : US
Telephone Number : 786-283-1849
Fax Number :
Provider Business Practice Location Address
First Line : 18311 SW 149TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33187-1733
Country : US
Telephone Number : 786-283-1849
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2013
Last Update Date : 07/29/2013

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Directions to “ LUCYBEL MENDEZ ” Practice Location

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