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NPI Code Detail

MEDICARE: KIMBERLEY IGLESIAS

MEDICARE:   KIMBERLEY  IGLESIAS
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 : 1558199562
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLEY IGLESIAS
Provider Business Mailing Address
First Line : 2400 34TH AVE APT A
Second Line :
City : OAKLAND
State : CA
Zip : 94601-2645
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2400 34TH AVE APT A
Second Line :
City : OAKLAND
State : CA
Zip : 94601-2645
Country : US
Telephone Number : 510-213-5880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2024
Last Update Date : 07/22/2024

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Directions to “ KIMBERLEY IGLESIAS ” 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.