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NPI Code Detail

MEDICARE: DEBORAH JUAREZ

MEDICARE: DEBORAH JUAREZ
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
1222Q00000XDevelopmental Therapist
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1245625508
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH JUAREZ
Provider Business Mailing Address
First Line : 500 FAIRWAY DR STE 102
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-1817
Country : US
Telephone Number : 888-880-9270
Fax Number :
Provider Business Practice Location Address
First Line : 100 CONGRESS AVE STE 2000
Second Line :
City : AUSTIN
State : TX
Zip : 78701-2745
Country : US
Telephone Number : 888-880-9270
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2015
Last Update Date : 12/27/2017

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Directions to “ DEBORAH JUAREZ ” Practice Location

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