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NPI Code Detail

MEDICARE: CLAUDIA FAJARDO

MEDICARE:   CLAUDIA  FAJARDO
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 TechnicianRBT-20-135665FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790433068
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAUDIA FAJARDO
Provider Business Mailing Address
First Line : 5841 KISLIN PL
Second Line :
City : ORLANDO
State : FL
Zip : 32807-3116
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5841 KISLIN PL
Second Line :
City : ORLANDO
State : FL
Zip : 32807-3116
Country : US
Telephone Number : 605-653-0272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2022
Last Update Date : 03/15/2022

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Directions to “ CLAUDIA FAJARDO ” Practice Location

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