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NPI Code Detail

MEDICARE: JESENIA GIAMBRONE M.S., BCBA

MEDICARE:   JESENIA  GIAMBRONE  M.S., BCBA
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
1103K00000XBehavior AnalystFL
2103K00000XBehavior Analyst1-18-31864FL

Other Identifiers

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

General Provider Information

NPI Number : 1295280980
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESENIA GIAMBRONE M.S., BCBA
Provider Business Mailing Address
First Line : 6002 GRAND PALM DR APT 427
Second Line :
City : TAMPA
State : FL
Zip : 33647-2661
Country : US
Telephone Number : 813-424-7421
Fax Number :
Provider Business Practice Location Address
First Line : 6002 GRAND PALM DR APT 427
Second Line :
City : TAMPA
State : FL
Zip : 33647-2661
Country : US
Telephone Number : 813-424-7421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2016
Last Update Date : 09/24/2018

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