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NPI Code Detail

MEDICARE: VANESSA LIZETTE SALDIVAR M.ED RBT

MEDICARE: VANESSA LIZETTE SALDIVAR M.ED RBT
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 TechnicianRBT-17-30206TX
2103K00000XBehavior Analyst1-20-41613

General Provider Information

NPI Number : 1356997183
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA LIZETTE SALDIVAR M.ED RBT
Provider Business Mailing Address
First Line : 2424 VILLAGE DR
Second Line :
City : BROWNSVILLE
State : TX
Zip : 78521-1480
Country : US
Telephone Number : 956-230-5135
Fax Number : 361-333-1714
Provider Business Practice Location Address
First Line : 2424 VILLAGE DR
Second Line :
City : BROWNSVILLE
State : TX
Zip : 78521-1480
Country : US
Telephone Number : 956-230-5135
Fax Number : 361-333-1714
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2019
Last Update Date : 03/26/2020

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Directions to “ VANESSA LIZETTE SALDIVAR M.ED RBT” Practice Location

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