MEDICARE: JOSUE ENRIQUE NARANJO FINALE MA

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
1	106S00000X	Behavior Technician		TX

General Provider Information

NPI Number	:	1083403869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSUE ENRIQUE NARANJO FINALE MA

Provider Business Mailing Address
First Line	:	1914 W NORTHGATE DR
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75062-2601
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3250 W PLEASANT RUN RD STE 160
Second Line	:
City	:	LANCASTER
State	:	TX
Zip	:	75146-1071
Country	:	US
Telephone Number	:	469-792-3976
Fax Number	:	469-792-3976

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2025
Last Update Date	:	05/06/2025

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