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NPI Code Detail

MEDICARE: ADRIANA SPELL M.ED

MEDICARE: ADRIANA SPELL M.ED
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 Analyst1-17-28213CA

General Provider Information

NPI Number : 1013139963
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIANA SPELL M.ED
Provider Business Mailing Address
First Line : 3355 MISSION AVE
Second Line : SUITE 221
City : OCEANSIDE
State : CA
Zip : 92058-1326
Country : US
Telephone Number : 951-813-4034
Fax Number : 951-813-4035
Provider Business Practice Location Address
First Line : 2525 CAMINO DEL RIO S STE 335
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-3743
Country : US
Telephone Number : 877-264-6747
Fax Number : 877-539-7730
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 01/30/2018

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Directions to “ ADRIANA SPELL M.ED” Practice Location

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