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NPI Code Detail

MEDICARE: CYNTHIA LUCIA AVILA

MEDICARE: CYNTHIA LUCIA AVILA
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 Technician37306540TX

General Provider Information

NPI Number : 1427556463
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA LUCIA AVILA
Provider Business Mailing Address
First Line : 21600 OXNARD ST STE 1800
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-7807
Country : US
Telephone Number : 818-345-2345
Fax Number :
Provider Business Practice Location Address
First Line : 12740 BANDERA RD STE 200
Second Line :
City : HELOTES
State : TX
Zip : 78023-4328
Country : US
Telephone Number : 210-321-9275
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2018
Last Update Date : 01/24/2018

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Directions to “ CYNTHIA LUCIA AVILA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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