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NPI Code Detail

MEDICARE: KAIREE MERCEDEZ COLON

MEDICARE: KAIREE MERCEDEZ COLON
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 : 1730043720
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAIREE MERCEDEZ COLON
Provider Business Mailing Address
First Line : 495 HAVENBROOK WAY NW
Second Line :
City : CONCORD
State : NC
Zip : 28027-4113
Country : US
Telephone Number : 704-769-5497
Fax Number :
Provider Business Practice Location Address
First Line : 495 HAVENBROOK WAY NW
Second Line :
City : CONCORD
State : NC
Zip : 28027-4113
Country : US
Telephone Number : 704-769-5497
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2025
Last Update Date : 12/12/2025

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Directions to “ KAIREE MERCEDEZ COLON ” Practice Location

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