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NPI Code Detail

MEDICARE: ASHLEY LANDAVERDE

MEDICARE: ASHLEY LANDAVERDE
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-23-301528TX

General Provider Information

NPI Number : 1124988837
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY LANDAVERDE
Provider Business Mailing Address
First Line : 1217 WHITEMOSS DR
Second Line :
City : HUTTO
State : TX
Zip : 78634-5549
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3620 HILLSIDE DR
Second Line :
City : ROUND ROCK
State : TX
Zip : 78681-3742
Country : US
Telephone Number : 512-661-4387
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2025
Last Update Date : 11/19/2025

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Directions to “ ASHLEY LANDAVERDE ” Practice Location

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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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