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NPI Code Detail

MEDICARE: KEYLA J LAHOZ OGANDO

MEDICARE:   KEYLA J LAHOZ OGANDO
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
1106E00000XAssistant Behavior Analyst

General Provider Information

NPI Number : 1194261149
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEYLA J LAHOZ OGANDO
Provider Business Mailing Address
First Line : 2820 BAILEY AVE
Second Line : 19D
City : BRONX
State : NY
Zip : 10463-7220
Country : US
Telephone Number : 845-287-5830
Fax Number :
Provider Business Practice Location Address
First Line : 2820 BAILEY AVE
Second Line : 19D
City : BRONX
State : NY
Zip : 10463-7220
Country : US
Telephone Number : 845-287-5830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2017
Last Update Date : 01/15/2017

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Directions to “ KEYLA J LAHOZ OGANDO ” Practice Location

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