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NPI Code Detail

MEDICARE: PABLO MOYA

MEDICARE:   PABLO  MOYA
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 Technician144645FL

General Provider Information

NPI Number : 1710677505
Entity Type Code : Individual
Provider Name (Legal Business Name) : PABLO MOYA
Provider Business Mailing Address
First Line : 2651 W 72ND ST
Second Line :
City : HIALEAH
State : FL
Zip : 33016-5438
Country : US
Telephone Number : 786-797-9525
Fax Number :
Provider Business Practice Location Address
First Line : 2651 W 72ND ST
Second Line :
City : HIALEAH
State : FL
Zip : 33016-5438
Country : US
Telephone Number : 786-797-9525
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2023
Last Update Date : 05/15/2023

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Directions to “ PABLO MOYA ” Practice Location

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