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NPI Code Detail

MEDICARE: ASELA MORALES

MEDICARE:   ASELA  MORALES
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 : 1760908859
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASELA MORALES
Provider Business Mailing Address
First Line : 8074 SW 206TH TER
Second Line :
City : CUTLER BAY
State : FL
Zip : 33189-2640
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10700 CARIBBEAN BLVD STE 205
Second Line :
City : CUTLER BAY
State : FL
Zip : 33189-1230
Country : US
Telephone Number : 786-738-6468
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2017
Last Update Date : 08/21/2017

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Directions to “ ASELA MORALES ” Practice Location

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