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NPI Code Detail

MEDICARE: ELIZABETH I FEMATT

MEDICARE: ELIZABETH I FEMATT
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 : 1275231136
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH I FEMATT
Provider Business Mailing Address
First Line : 1535 HAWKINS BLVD
Second Line :
City : EL PASO
State : TX
Zip : 79925-2648
Country : US
Telephone Number : 210-447-0039
Fax Number :
Provider Business Practice Location Address
First Line : 1535 HAWKINS BLVD
Second Line :
City : EL PASO
State : TX
Zip : 79925-2648
Country : US
Telephone Number : 210-447-0039
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2023
Last Update Date : 02/20/2023

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Directions to “ ELIZABETH I FEMATT ” Practice Location

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