MEDICARE: MAGDALENA NIEVES

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

General Provider Information

NPI Number	:	1841170701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAGDALENA NIEVES

Provider Business Mailing Address
First Line	:	7120 SAMUEL MORSE DR STE 150
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21046-3420
Country	:	US
Telephone Number	:	888-344-5977
Fax Number	:

Provider Business Practice Location Address
First Line	:	5290 SHAWNEE RD STE 101
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22312-2377
Country	:	US
Telephone Number	:	888-344-5977
Fax Number	:

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

Provider Enumeration Date	:	09/03/2025
Last Update Date	:	05/29/2026

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Directions to “ MAGDALENA NIEVES ” Practice Location

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