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NPI Code Detail

MEDICARE: FLAVIO ENRIQUE ALVARADO JR.

MEDICARE: FLAVIO ENRIQUE ALVARADO JR.
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
1101Y00000XCounselorC.2507021-TRNEOH
2171M00000XCase Manager/Care Coordinator
3106S00000XBehavior Technician

General Provider Information

NPI Number : 1649907544
Entity Type Code : Individual
Provider Name (Legal Business Name) : FLAVIO ENRIQUE ALVARADO JR.
Provider Business Mailing Address
First Line : 88TH MDG 4881 SUGAR MAPLE DR.
Second Line :
City : WRIGHT PATTERSON AFB
State : OH
Zip : 45433
Country : US
Telephone Number : 614-822-0670
Fax Number :
Provider Business Practice Location Address
First Line : 8501 OLD TROY PIKE
Second Line :
City : HUBER HEIGHTS
State : OH
Zip : 45424-1054
Country : US
Telephone Number : 937-641-4360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2022
Last Update Date : 02/17/2026

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