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NPI Code Detail

MEDICARE: MARIANA JACKELIN CLAROS TINEO

MEDICARE: MARIANA JACKELIN CLAROS TINEO
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 Technician000048124496NC

General Provider Information

NPI Number : 1326911868
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIANA JACKELIN CLAROS TINEO
Provider Business Mailing Address
First Line : 212 CAROLINA AVE
Second Line :
City : THOMASVILLE
State : NC
Zip : 27360-4716
Country : US
Telephone Number : 571-494-6039
Fax Number :
Provider Business Practice Location Address
First Line : 232 CEDAR LODGE RD
Second Line :
City : THOMASVILLE
State : NC
Zip : 27360-6143
Country : US
Telephone Number : 336-474-2211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2025
Last Update Date : 10/24/2025

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Directions to “ MARIANA JACKELIN CLAROS TINEO ” Practice Location

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