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NPI Code Detail

MEDICARE: VANESSA AURORA MOREJON-CAMPOS

MEDICARE: VANESSA AURORA MOREJON-CAMPOS
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

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 : 1538624515
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA AURORA MOREJON-CAMPOS
Provider Business Mailing Address
First Line : 9704 ELM WAY
Second Line :
City : TAMPA
State : FL
Zip : 33635-1010
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14497 N DALE MABRY HWY STE 115N
Second Line :
City : TAMPA
State : FL
Zip : 33618-2023
Country : US
Telephone Number : 813-814-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2019
Last Update Date : 02/04/2019

Similar Medicare Providers

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1851871206 — BEHAVIORAL CONSULTING OF TAMPA BAY, INC
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Practice Location Address:
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1750986543 — MAURICE SEARIGHT
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Directions to “ VANESSA AURORA MOREJON-CAMPOS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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