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NPI Code Detail

MEDICARE: YULISSA ACEVEDO

MEDICARE: YULISSA ACEVEDO
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
1374700000XTechnicianNE
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1528869666
Entity Type Code : Individual
Provider Name (Legal Business Name) : YULISSA ACEVEDO
Provider Business Mailing Address
First Line : 20010 MANDERSON ST STE 104
Second Line :
City : ELKHORN
State : NE
Zip : 68022-1264
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 20010 MANDERSON ST STE 104
Second Line :
City : ELKHORN
State : NE
Zip : 68022-1264
Country : US
Telephone Number : 972-777-1331
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2025
Last Update Date : 04/13/2026

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Directions to “ YULISSA ACEVEDO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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