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NPI Code Detail

MEDICARE: IVETTE ANDRADE BCBA

MEDICARE: IVETTE ANDRADE 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 Analyst2220TX

General Provider Information

NPI Number : 1528792306
Entity Type Code : Individual
Provider Name (Legal Business Name) : IVETTE ANDRADE BCBA
Provider Business Mailing Address
First Line : 709 E ESPERANZA AVE
Second Line :
City : MCALLEN
State : TX
Zip : 78501-1470
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 709 E ESPERANZA AVE
Second Line :
City : MCALLEN
State : TX
Zip : 78501-1470
Country : US
Telephone Number : 956-322-8845
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2022
Last Update Date : 07/15/2022

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Directions to “ IVETTE ANDRADE BCBA” Practice Location

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