MEDICARE: DARLING CHAMORRO HERRERA RBT-24-401857

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	RBT-24-401857	FL

General Provider Information

NPI Number	:	1295546430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARLING CHAMORRO HERRERA RBT-24-401857

Provider Business Mailing Address
First Line	:	2208 GREENVIEW CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-4416
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2208 GREENVIEW CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-4416
Country	:	US
Telephone Number	:	407-431-6310
Fax Number	:

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

Provider Enumeration Date	:	01/16/2025
Last Update Date	:	01/16/2025

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Directions to “ DARLING CHAMORRO HERRERA RBT-24-401857” Practice Location

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