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NPI Code Detail

MEDICARE: LIAMNY OJEDA DELGADO

MEDICARE: LIAMNY OJEDA DELGADO
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 : 1609341775
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIAMNY OJEDA DELGADO
Provider Business Mailing Address
First Line : 10400 SW 108TH AVE APT A314
Second Line :
City : MIAMI
State : FL
Zip : 33176-8629
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13839 SW 139TH CT
Second Line :
City : MIAMI
State : FL
Zip : 33186-5554
Country : US
Telephone Number : 786-715-2846
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2018
Last Update Date : 07/08/2019

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Directions to “ LIAMNY OJEDA DELGADO ” Practice Location

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