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NPI Code Detail

MEDICARE: MICHELLE RIOFRIO ULLOA

MEDICARE:   MICHELLE  RIOFRIO ULLOA
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-24-390727FL

General Provider Information

NPI Number : 1063220838
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE RIOFRIO ULLOA
Provider Business Mailing Address
First Line : 2536 FLORIDA ST
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33406-4202
Country : US
Telephone Number : 561-707-9437
Fax Number :
Provider Business Practice Location Address
First Line : 2536 FLORIDA ST
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33406-4202
Country : US
Telephone Number : 561-707-9437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2024
Last Update Date : 12/26/2024

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Directions to “ MICHELLE RIOFRIO ULLOA ” Practice Location

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