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NPI Code Detail

MEDICARE: MARIA QUINONEZ

MEDICARE: MARIA QUINONEZ
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 : 1013655539
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA QUINONEZ
Provider Business Mailing Address
First Line : 1333 S MAYFLOWER AVE STE 220
Second Line :
City : MONROVIA
State : CA
Zip : 91016-5239
Country : US
Telephone Number : 407-433-5062
Fax Number :
Provider Business Practice Location Address
First Line : 3210 CORRINE DR
Second Line :
City : ORLANDO
State : FL
Zip : 32803-2230
Country : US
Telephone Number : 855-295-3276
Fax Number : 888-588-2752
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2022
Last Update Date : 08/26/2024

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Directions to “ MARIA QUINONEZ ” Practice Location

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