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NPI Code Detail

MEDICARE: CARMEN PAOLA ZAMBRANO RBT

MEDICARE: CARMEN PAOLA ZAMBRANO RBT
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 TechnicianRBT-18-49034TX

General Provider Information

NPI Number : 1619543204
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARMEN PAOLA ZAMBRANO RBT
Provider Business Mailing Address
First Line : 515 E 10TH ST
Second Line :
City : DALLAS
State : TX
Zip : 75203-2331
Country : US
Telephone Number : 214-714-3275
Fax Number :
Provider Business Practice Location Address
First Line : 2825 VALLEY VIEW LN STE 100
Second Line :
City : FARMERS BRANCH
State : TX
Zip : 75234-4943
Country : US
Telephone Number : 214-736-8376
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2021
Last Update Date : 06/03/2021

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Directions to “ CARMEN PAOLA ZAMBRANO RBT” Practice Location

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