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NPI Code Detail

MEDICARE: ALBERTA SANDERS

MEDICARE:   ALBERTA  SANDERS
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

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 : 1639713423
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALBERTA SANDERS
Provider Business Mailing Address
First Line : 1905 LAVON ST
Second Line :
City : LAKELAND
State : FL
Zip : 33805-2553
Country : US
Telephone Number : 863-510-3152
Fax Number :
Provider Business Practice Location Address
First Line : 504 E BAKER ST STE 1
Second Line :
City : PLANT CITY
State : FL
Zip : 33563-3558
Country : US
Telephone Number : 813-704-6297
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2019
Last Update Date : 01/21/2025

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Directions to “ ALBERTA SANDERS ” Practice Location

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