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NPI Code Detail

MEDICARE: YARIELIS NOA

MEDICARE:   YARIELIS  NOA
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-21-198315FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447984034
Entity Type Code : Individual
Provider Name (Legal Business Name) : YARIELIS NOA
Provider Business Mailing Address
First Line : 3450 NW 171ST TER
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33056-4136
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12485 SW 137TH AVE STE 106
Second Line :
City : MIAMI
State : FL
Zip : 33186-4215
Country : US
Telephone Number : 786-250-4423
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2022
Last Update Date : 07/11/2022

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Directions to “ YARIELIS NOA ” Practice Location

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