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NPI Code Detail

MEDICARE: MAYRA ALEXANDRA AGUADO

MEDICARE:   MAYRA ALEXANDRA AGUADO
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 AnalystFL

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 : 1639808678
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYRA ALEXANDRA AGUADO
Provider Business Mailing Address
First Line : PO BOX 6553
Second Line :
City : LAKELAND
State : FL
Zip : 33807-6553
Country : US
Telephone Number : 863-602-0698
Fax Number : 813-354-2715
Provider Business Practice Location Address
First Line : 10150 HIGHLAND MANOR DR STE 200
Second Line :
City : TAMPA
State : FL
Zip : 33610-9712
Country : US
Telephone Number : 863-602-0698
Fax Number : 813-354-2715
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2022
Last Update Date : 01/09/2026

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Directions to “ MAYRA ALEXANDRA AGUADO ” Practice Location

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