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NPI Code Detail

MEDICARE: ROY WALFORD JR.

MEDICARE: ROY WALFORD JR.
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 Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124603899
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROY WALFORD JR.
Provider Business Mailing Address
First Line : 10920 SW 184TH ST
Second Line :
City : CUTLER BAY
State : FL
Zip : 33157-6608
Country : US
Telephone Number : 305-378-5775
Fax Number :
Provider Business Practice Location Address
First Line : 19001 SW 106TH AVE STE 107
Second Line :
City : CUTLER BAY
State : FL
Zip : 33157-7671
Country : US
Telephone Number : 305-378-5775
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2021
Last Update Date : 05/19/2026

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