MEDICARE: YURAIMYS CHARON BARBERIA

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

General Provider Information

NPI Number	:	1720768260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YURAIMYS CHARON BARBERIA

Provider Business Mailing Address
First Line	:	7230 NW 179TH ST APT 108
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-5443
Country	:	US
Telephone Number	:	786-775-7728
Fax Number	:

Provider Business Practice Location Address
First Line	:	7230 NW 179TH ST APT 108
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-5443
Country	:	US
Telephone Number	:	786-775-7728
Fax Number	:

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

Provider Enumeration Date	:	07/19/2023
Last Update Date	:	07/19/2023

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Directions to “ YURAIMYS CHARON BARBERIA ” Practice Location

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