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NPI Code Detail

MEDICARE: PEDRO QUINTERO

MEDICARE: PEDRO QUINTERO
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 Analyst0133002371VA

General Provider Information

NPI Number : 1619621299
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEDRO QUINTERO
Provider Business Mailing Address
First Line : 13000 RIVERS BEND BLVD
Second Line :
City : CHESTER
State : VA
Zip : 23836-8632
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13000 RIVERS BEND BLVD
Second Line :
City : CHESTER
State : VA
Zip : 23836-8632
Country : US
Telephone Number : 703-232-4971
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2022
Last Update Date : 02/05/2025

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Directions to “ PEDRO QUINTERO ” Practice Location

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