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NPI Code Detail

MEDICARE: ADRIANA LIMA

MEDICARE: ADRIANA LIMA
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 : 1497480743
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIANA LIMA
Provider Business Mailing Address
First Line : 501 N 4TH ST APT 144
Second Line :
City : MONTEBELLO
State : CA
Zip : 90640-3610
Country : US
Telephone Number : 323-470-6666
Fax Number :
Provider Business Practice Location Address
First Line : 3210 W BURBANK BLVD STE B
Second Line :
City : BURBANK
State : CA
Zip : 91505-2200
Country : US
Telephone Number : 818-638-9586
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2022
Last Update Date : 07/20/2022

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Directions to “ ADRIANA LIMA ” Practice Location

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