MEDICARE: SANDRA LLAMBIA

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
1	106S00000X	Behavior Technician	BACB993211	FL

General Provider Information

NPI Number	:	1144080003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA LLAMBIA

Provider Business Mailing Address
First Line	:	7925 SW 104TH ST APT E201
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-3678
Country	:	US
Telephone Number	:	787-459-6352
Fax Number	:

Provider Business Practice Location Address
First Line	:	7925 SW 104TH ST APT E201
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-3678
Country	:	US
Telephone Number	:	787-459-6352
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2024
Last Update Date	:	03/19/2024

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Directions to “ SANDRA LLAMBIA ” Practice Location

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