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NPI Code Detail

MEDICARE: VICTORIA CARDINALLI M.A., BCBA

MEDICARE: VICTORIA CARDINALLI M.A., BCBA
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 Analyst7401001728MI
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1114479722
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA CARDINALLI M.A., BCBA
Provider Business Mailing Address
First Line : 228 HAMILTON AVE FL 3
Second Line :
City : PALO ALTO
State : CA
Zip : 94301-2583
Country : US
Telephone Number : 919-758-5339
Fax Number :
Provider Business Practice Location Address
First Line : 228 HAMILTON AVE FL 3
Second Line :
City : PALO ALTO
State : CA
Zip : 94301-2583
Country : US
Telephone Number : 919-758-5339
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2016
Last Update Date : 03/19/2024

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