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NPI Code Detail

MEDICARE: JENNYBEL HERRERA

MEDICARE: JENNYBEL HERRERA
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 Technician

General Provider Information

NPI Number : 1265770952
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNYBEL HERRERA
Provider Business Mailing Address
First Line : 561 W 39TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33012-4233
Country : US
Telephone Number : 954-802-9469
Fax Number :
Provider Business Practice Location Address
First Line : 12051 W OKEECHOBEE RD
Second Line :
City : HIALEAH GARDENS
State : FL
Zip : 33018-2933
Country : US
Telephone Number : 954-802-9469
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2013
Last Update Date : 02/07/2018

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Directions to “ JENNYBEL HERRERA ” Practice Location

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