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NPI Code Detail

MEDICARE: LIDYANA HERRERA

MEDICARE:   LIDYANA  HERRERA
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
1103K00000XBehavior Analyst

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 : 1932552510
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIDYANA HERRERA
Provider Business Mailing Address
First Line : 3425 NW 1ST ST
Second Line :
City : MIAMI
State : FL
Zip : 33125-4932
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3425 NW 1ST ST
Second Line :
City : MIAMI
State : FL
Zip : 33125-4932
Country : US
Telephone Number : 786-326-8680
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2016
Last Update Date : 07/19/2016

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Directions to “ LIDYANA HERRERA ” Practice Location

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