MEDICARE: BARBARA BEJARANO

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
1	106S00000X	Behavior Technician		FL
2	247200000X	Other Technician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548617335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA BEJARANO

Provider Business Mailing Address
First Line	:	6438 SW 27TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-2955
Country	:	US
Telephone Number	:	305-586-6605
Fax Number	:

Provider Business Practice Location Address
First Line	:	6438 SW 27TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-2955
Country	:	US
Telephone Number	:	305-586-6605
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2016
Last Update Date	:	04/19/2022

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Directions to “ BARBARA BEJARANO ” Practice Location

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