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NPI Code Detail

MEDICARE: MERCEDES GALLOR

MEDICARE: MERCEDES GALLOR
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-18-56179FL
2103K00000XBehavior Analyst1-24-74755FL
3106E00000XAssistant Behavior Analyst0-21-12854FL

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 : 1154810448
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERCEDES GALLOR
Provider Business Mailing Address
First Line : 10720 NW 7TH ST APT 2
Second Line :
City : MIAMI
State : FL
Zip : 33172-3739
Country : US
Telephone Number : 786-942-6847
Fax Number :
Provider Business Practice Location Address
First Line : 2898 NW 79TH AVE
Second Line :
City : DORAL
State : FL
Zip : 33122-1033
Country : US
Telephone Number : 305-597-3861
Fax Number : 305-597-3863
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2018
Last Update Date : 08/07/2024

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Directions to “ MERCEDES GALLOR ” Practice Location

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