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NPI Code Detail

MEDICARE: SAILY CHANG

MEDICARE: SAILY CHANG
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

General Provider Information

NPI Number : 1669292629
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAILY CHANG
Provider Business Mailing Address
First Line : 5209 W 24TH CT
Second Line :
City : HIALEAH
State : FL
Zip : 33016-4757
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2898 NW 79TH AVE
Second Line :
City : DORAL
State : FL
Zip : 33122-1033
Country : US
Telephone Number : 305-597-6361
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2024
Last Update Date : 10/15/2024

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Directions to “ SAILY CHANG ” Practice Location

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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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