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NPI Code Detail

MEDICARE: JESSICA CASADO OLIVERA RBT-24-377391

MEDICARE:   JESSICA  CASADO OLIVERA  RBT-24-377391
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-24-377391FL

General Provider Information

NPI Number : 1134955289
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA CASADO OLIVERA RBT-24-377391
Provider Business Mailing Address
First Line : 1617 SW 34TH ST
Second Line :
City : CAPE CORAL
State : FL
Zip : 33914-4996
Country : US
Telephone Number : 754-286-1021
Fax Number :
Provider Business Practice Location Address
First Line : 1617 SW 34TH ST
Second Line :
City : CAPE CORAL
State : FL
Zip : 33914-4996
Country : US
Telephone Number : 754-286-1021
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2024
Last Update Date : 09/13/2024

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Directions to “ JESSICA CASADO OLIVERA RBT-24-377391” 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.