MEDICARE: GIOVANNA ORDONEZ

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

General Provider Information

NPI Number	:	1154844090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GIOVANNA ORDONEZ

Provider Business Mailing Address
First Line	:	185 NW 13TH AVE APT 734
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-5734
Country	:	US
Telephone Number	:	786-362-1548
Fax Number	:

Provider Business Practice Location Address
First Line	:	185 NW 13TH AVE APT 734
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-5734
Country	:	US
Telephone Number	:	786-362-1548
Fax Number	:

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

Provider Enumeration Date	:	07/23/2017
Last Update Date	:	07/21/2022

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Directions to “ GIOVANNA ORDONEZ ” Practice Location

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