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NPI Code Detail

MEDICARE: MARIANA REGALADO GARCIA

MEDICARE:   MARIANA  REGALADO GARCIA
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 : 1568225928
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIANA REGALADO GARCIA
Provider Business Mailing Address
First Line : 1026 SUMMIT BLVD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33405-3030
Country : US
Telephone Number : 561-568-0623
Fax Number :
Provider Business Practice Location Address
First Line : 1026 SUMMIT BLVD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33405-3030
Country : US
Telephone Number : 561-568-0623
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2024
Last Update Date : 01/30/2024

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Directions to “ MARIANA REGALADO GARCIA ” Practice Location

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