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NPI Code Detail

MEDICARE: BLANCA NIEVES RELOVA DUARTE RBT

MEDICARE:   BLANCA NIEVES  RELOVA DUARTE  RBT
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-25-504872FL

General Provider Information

NPI Number : 1003773201
Entity Type Code : Individual
Provider Name (Legal Business Name) : BLANCA NIEVES RELOVA DUARTE RBT
Provider Business Mailing Address
First Line : 1695 W 72ND ST
Second Line :
City : HIALEAH
State : FL
Zip : 33014-4463
Country : US
Telephone Number : 904-776-2872
Fax Number :
Provider Business Practice Location Address
First Line : 1695 W 72ND ST
Second Line :
City : HIALEAH
State : FL
Zip : 33014-4463
Country : US
Telephone Number : 904-776-2872
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “ BLANCA NIEVES RELOVA DUARTE RBT” Practice Location

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