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NPI Code Detail

MEDICARE: ERNESTO MOREJON SOSA BCBA

MEDICARE: ERNESTO MOREJON SOSA BCBA
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
1103K00000XBehavior Analyst1-20-41172FL

General Provider Information

NPI Number : 1518489368
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERNESTO MOREJON SOSA BCBA
Provider Business Mailing Address
First Line : 1767 QUIVER POINT AVE
Second Line :
City : HENDERSON
State : NV
Zip : 89012-3482
Country : US
Telephone Number : 239-378-0504
Fax Number :
Provider Business Practice Location Address
First Line : 1767 QUIVER POINT AVE
Second Line :
City : HENDERSON
State : NV
Zip : 89012-3482
Country : US
Telephone Number : 239-378-0504
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2017
Last Update Date : 09/05/2023

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