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NPI Code Detail

MEDICARE: ANDRES ALBERTO VILLALOBOS

MEDICARE:   ANDRES ALBERTO VILLALOBOS
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 : 1306793617
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDRES ALBERTO VILLALOBOS
Provider Business Mailing Address
First Line : 332 SEA ESTA LN
Second Line :
City : HALLANDALE BEACH
State : FL
Zip : 33009-2431
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 332 SEA ESTA LN
Second Line :
City : HALLANDALE BEACH
State : FL
Zip : 33009-2431
Country : US
Telephone Number : 786-691-7615
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ ANDRES ALBERTO VILLALOBOS ” Practice Location

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