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NPI Code Detail

MEDICARE: VICTORIA ISIDORE

MEDICARE:   VICTORIA  ISIDORE
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 : 1548141591
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA ISIDORE
Provider Business Mailing Address
First Line : 3015 MARKET ST
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-0724
Country : US
Telephone Number : 910-554-3081
Fax Number :
Provider Business Practice Location Address
First Line : 3015 MARKET ST
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-0724
Country : US
Telephone Number : 910-554-3081
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2025
Last Update Date : 05/27/2026

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Directions to “ VICTORIA ISIDORE ” Practice Location

Language Start Address Practice Location
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.