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NPI Code Detail

MEDICARE: RITA MORALES

MEDICARE: RITA MORALES
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

General Provider Information

NPI Number : 1053763391
Entity Type Code : Individual
Provider Name (Legal Business Name) : RITA MORALES
Provider Business Mailing Address
First Line : 2500 NW 107TH AVE STE 200
Second Line :
City : DORAL
State : FL
Zip : 33172-5923
Country : US
Telephone Number : 305-846-9807
Fax Number : 305-846-9711
Provider Business Practice Location Address
First Line : 2500 NW 107TH AVE STE 200
Second Line :
City : DORAL
State : FL
Zip : 33172-5923
Country : US
Telephone Number : 305-846-9807
Fax Number : 305-846-9711
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2016
Last Update Date : 07/11/2016

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Directions to “ RITA MORALES ” Practice Location

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