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NPI Code Detail

MEDICARE: JASON ACEVEDO

MEDICARE: JASON ACEVEDO
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

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 : 1306562137
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON ACEVEDO
Provider Business Mailing Address
First Line : 8610 HIDDEN RIVER PKWY STE 200
Second Line :
City : TAMPA
State : FL
Zip : 33637-1114
Country : US
Telephone Number : 813-481-9662
Fax Number : 813-704-2600
Provider Business Practice Location Address
First Line : 8610 HIDDEN RIVER PKWY STE 200
Second Line :
City : TAMPA
State : FL
Zip : 33637-1114
Country : US
Telephone Number : 813-481-9662
Fax Number : 813-704-2600
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2022
Last Update Date : 10/13/2022

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Directions to “ JASON ACEVEDO ” Practice Location

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