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NPI Code Detail

MEDICARE: VALERIA MACUARE MA, BCBA

MEDICARE: VALERIA MACUARE MA, BCBA
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
1103K00000XBehavior AnalystLBA1865MD

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 : 1215562962
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIA MACUARE MA, BCBA
Provider Business Mailing Address
First Line : 8558 BLACK STAR CIR
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-2649
Country : US
Telephone Number : 240-918-2363
Fax Number :
Provider Business Practice Location Address
First Line : 8558 BLACK STAR CIR
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-2649
Country : US
Telephone Number : 240-918-2363
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2020
Last Update Date : 07/17/2024

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