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NPI Code Detail

MEDICARE: CLAUDIA MACIAS MISAS

MEDICARE: CLAUDIA MACIAS MISAS
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

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 : 1518636596
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAUDIA MACIAS MISAS
Provider Business Mailing Address
First Line : 4510 SW 163RD PATH
Second Line :
City : MIAMI
State : FL
Zip : 33185-3851
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 18646 NW 53RD AVE
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33055-5307
Country : US
Telephone Number : 786-458-0031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2021
Last Update Date : 09/13/2021

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Directions to “ CLAUDIA MACIAS MISAS ” Practice Location

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