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NPI Code Detail

MEDICARE: CZRINA MORENO

MEDICARE: CZRINA MORENO
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 TechnicianRBT-15-04535MO

General Provider Information

NPI Number : 1285141663
Entity Type Code : Individual
Provider Name (Legal Business Name) : CZRINA MORENO
Provider Business Mailing Address
First Line : 116 W SHERMAN WAY STE 1
Second Line :
City : NIXA
State : MO
Zip : 65714-9022
Country : US
Telephone Number : 172-980-9844
Fax Number : 173-747-1854
Provider Business Practice Location Address
First Line : 116 W SHERMAN WAY STE 1
Second Line :
City : NIXA
State : MO
Zip : 65714-9022
Country : US
Telephone Number : 417-298-0984
Fax Number : 209-473-3344
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2018
Last Update Date : 09/09/2025

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Directions to “ CZRINA MORENO ” Practice Location

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