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NPI Code Detail

MEDICARE: MICHELA ANN CAVALLARO

MEDICARE: MICHELA ANN CAVALLARO
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 : 1407799687
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELA ANN CAVALLARO
Provider Business Mailing Address
First Line : 280 CHARLOIS BLVD
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27103-1588
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 280 CHARLOIS BLVD
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27103-1588
Country : US
Telephone Number : 615-560-6622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ MICHELA ANN CAVALLARO ” Practice Location

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