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NPI Code Detail

MEDICARE: MARIA C BORRAJO

MEDICARE: MARIA C BORRAJO
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 : 1356179634
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA C BORRAJO
Provider Business Mailing Address
First Line : 479 CALABRIA AVE SE
Second Line :
City : PALM BAY
State : FL
Zip : 32909-4002
Country : US
Telephone Number : 305-772-1652
Fax Number :
Provider Business Practice Location Address
First Line : 479 CALABRIA AVE SE
Second Line :
City : PALM BAY
State : FL
Zip : 32909-4002
Country : US
Telephone Number : 305-772-1652
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2024
Last Update Date : 07/26/2024

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Directions to “ MARIA C BORRAJO ” Practice Location

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