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NPI Code Detail

MEDICARE: YADZAIDA GARCIA PADUA BCBA

MEDICARE: YADZAIDA GARCIA PADUA BCBA
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
2103K00000XBehavior Analyst1-19-36614

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11-19-36614OTHERBEHAVIOR ANALYSIS CERTIFICATION BOARD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386167740
Entity Type Code : Individual
Provider Name (Legal Business Name) : YADZAIDA GARCIA PADUA BCBA
Provider Business Mailing Address
First Line : 10150 HIGHLAND MANOR DR STE 200
Second Line :
City : TAMPA
State : FL
Zip : 33610-9712
Country : US
Telephone Number : 863-602-0698
Fax Number : 813-354-2715
Provider Business Practice Location Address
First Line : 10150 HIGHLAND MANOR DR STE 200
Second Line :
City : TAMPA
State : FL
Zip : 33610-9712
Country : US
Telephone Number : 863-602-0698
Fax Number : 813-354-2715
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2017
Last Update Date : 08/24/2020

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Directions to “ YADZAIDA GARCIA PADUA BCBA” Practice Location

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