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NPI Code Detail

MEDICARE: ULYSSA PEDROZA-FERNANDEZ

MEDICARE: ULYSSA PEDROZA-FERNANDEZ
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-23-311919AZ

General Provider Information

NPI Number : 1083565121
Entity Type Code : Individual
Provider Name (Legal Business Name) : ULYSSA PEDROZA-FERNANDEZ
Provider Business Mailing Address
First Line : PO BOX 740780
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0780
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Provider Business Practice Location Address
First Line : 2301 E YEAGER DR STE 14
Second Line :
City : CHANDLER
State : AZ
Zip : 85286-1578
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

Similar Medicare Providers

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Practice Location Address:
2301 E YEAGER DR STE 14
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Practice Phone: 855-223-7123
Practice Fax:
1902679343 — TAYLOR MIMMS
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1801413760 — JAQUELYN CONTRERAS M.A., BCBA, LBA
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1659222719 — KASEY MOSS
Practice Location Address:
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85286-1578
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1063806164 — MIRIAM G YOUNG M. ED., BCBA, LBA
Practice Location Address:
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1740715457 — ANDREW KINNEY DPT
Practice Location Address:
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Directions to “ ULYSSA PEDROZA-FERNANDEZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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