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NPI Code Detail

MEDICARE: GENESIS BARRERA

MEDICARE: GENESIS BARRERA
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-19-94703OH
2103K00000XBehavior Analyst1-24-72128OH

General Provider Information

NPI Number : 1386280485
Entity Type Code : Individual
Provider Name (Legal Business Name) : GENESIS BARRERA
Provider Business Mailing Address
First Line : 1649 61ST ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-3319
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1649 61ST ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-3319
Country : US
Telephone Number : 516-402-1446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2019
Last Update Date : 07/14/2025

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Directions to “ GENESIS BARRERA ” Practice Location

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