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NPI Code Detail

MEDICARE: MYRELLA LEVARIO

MEDICARE: MYRELLA LEVARIO
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 : 1346980042
Entity Type Code : Individual
Provider Name (Legal Business Name) : MYRELLA LEVARIO
Provider Business Mailing Address
First Line : 300 INTERNATIONAL PKWY STE 200
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-5028
Country : US
Telephone Number : 866-610-0580
Fax Number :
Provider Business Practice Location Address
First Line : 4491 LONG PRAIRIE RD STE 300
Second Line :
City : FLOWER MOUND
State : TX
Zip : 75028-2012
Country : US
Telephone Number : 469-687-9184
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2022
Last Update Date : 10/18/2024

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Directions to “ MYRELLA LEVARIO ” Practice Location

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