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NPI Code Detail

MEDICARE: WEIJUN LIAO

MEDICARE:   WEIJUN  LIAO
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 TechnicianRBT-26-506227FL

General Provider Information

NPI Number : 1639037195
Entity Type Code : Individual
Provider Name (Legal Business Name) : WEIJUN LIAO
Provider Business Mailing Address
First Line : 193 LANSBROOK CT
Second Line :
City : OCOEE
State : FL
Zip : 34761-5635
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1626 RIO COVE CT
Second Line :
City : ORLANDO
State : FL
Zip : 32825-8315
Country : US
Telephone Number : 407-917-0416
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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Directions to “ WEIJUN LIAO ” Practice Location

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