MEDICARE: DIANA NERRO

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265945364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA NERRO

Provider Business Mailing Address
First Line	:	1405 SW 10TH ST
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33991-2618
Country	:	US
Telephone Number	:	786-856-7630
Fax Number	:

Provider Business Practice Location Address
First Line	:	2804 DEL PRADO BLVD S
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-7252
Country	:	US
Telephone Number	:	239-599-8182
Fax Number	:

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

Provider Enumeration Date	:	11/10/2017
Last Update Date	:	03/06/2026

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Directions to “ DIANA NERRO ” Practice Location

Language	Start Address	Practice Location

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