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NPI Code Detail

MEDICARE: ANA MORALES

MEDICARE: ANA MORALES
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 : 1467924944
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA MORALES
Provider Business Mailing Address
First Line : 84 PUWANINI
Second Line :
City : SANTA FE
State : NM
Zip : 87506-8735
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1012 MARQUEZ PL UNIT 106B
Second Line :
City : SANTA FE
State : NM
Zip : 87505-1833
Country : US
Telephone Number : 866-273-2451
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2018
Last Update Date : 12/21/2018

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Directions to “ ANA MORALES ” Practice Location

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