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NPI Code Detail

MEDICARE: CASANDRA MARIA SPINOSA

MEDICARE: CASANDRA MARIA SPINOSA
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
1103K00000XBehavior Analyst1-25-80090FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588187652
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASANDRA MARIA SPINOSA
Provider Business Mailing Address
First Line : 9970 CENTRAL PARK BLVD N STE 401
Second Line :
City : BOCA RATON
State : FL
Zip : 33428-2252
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9970 CENTRAL PARK BLVD N STE 401
Second Line :
City : BOCA RATON
State : FL
Zip : 33428-2252
Country : US
Telephone Number : 561-705-5685
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2017
Last Update Date : 05/01/2025

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Practice Location Address:
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BOCA RATON, FL
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BOCA RATON, FL
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1285385336 — EMMA WHITE
Practice Location Address:
9970 CENTRAL PARK BLVD N STE 401
BOCA RATON, FL
33428-2252
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Practice Fax:

Directions to “ CASANDRA MARIA SPINOSA ” 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.

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