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NPI Code Detail

MEDICARE: JULIETH KAREN CARDONA

MEDICARE: JULIETH KAREN CARDONA
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 : 1881573749
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIETH KAREN CARDONA
Provider Business Mailing Address
First Line : 9151 KENWOOD DR APT 8
Second Line :
City : SPRING VALLEY
State : CA
Zip : 91977-2255
Country : US
Telephone Number : 626-652-9794
Fax Number :
Provider Business Practice Location Address
First Line : 1081 CAMINO DEL RIO S STE 103
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-3543
Country : US
Telephone Number : 619-535-7644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2025
Last Update Date : 08/27/2025

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Directions to “ JULIETH KAREN CARDONA ” Practice Location

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