MEDICARE: EMILY BAYONA

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
1	106E00000X	Assistant Behavior Analyst

General Provider Information

NPI Number	:	1467198523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY BAYONA

Provider Business Mailing Address
First Line	:	1007 W 35TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4927
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1007 W 35TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4927
Country	:	US
Telephone Number	:	786-543-2744
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2022
Last Update Date	:	05/10/2022

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Directions to “ EMILY BAYONA ” Practice Location

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