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NPI Code Detail

MEDICARE: MAYA JOY BURTON

MEDICARE:   MAYA JOY BURTON
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
1235Z00000XSpeech-Language Pathologist

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 : 1528658572
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYA JOY BURTON
Provider Business Mailing Address
First Line : 2901 NE 1ST AVE APT 1011
Second Line :
City : MIAMI
State : FL
Zip : 33137-5324
Country : US
Telephone Number : 404-550-7875
Fax Number :
Provider Business Practice Location Address
First Line : 2564 W 72ND PL
Second Line :
City : HIALEAH
State : FL
Zip : 33016-6507
Country : US
Telephone Number : 786-334-3125
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2021
Last Update Date : 05/28/2026

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