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NPI Code Detail

MEDICARE: ASHLEY MATARELLI

MEDICARE:   ASHLEY  MATARELLI
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 AnalystM364014839680FL

Other Identifiers

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

General Provider Information

NPI Number : 1598193518
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY MATARELLI
Provider Business Mailing Address
First Line : 900 WEST AVE
Second Line : APT 1111
City : MIAMI BEACH
State : FL
Zip : 33139-5233
Country : US
Telephone Number : 786-603-0442
Fax Number :
Provider Business Practice Location Address
First Line : 900 WEST AVE
Second Line : APT 1111
City : MIAMI BEACH
State : FL
Zip : 33139-5233
Country : US
Telephone Number : 786-603-0442
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2013
Last Update Date : 10/30/2013

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Directions to “ ASHLEY MATARELLI ” Practice Location

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