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NPI Code Detail

MEDICARE: EDYLLE FERRERAS

MEDICARE: EDYLLE FERRERAS
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 : 1659264703
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDYLLE FERRERAS
Provider Business Mailing Address
First Line : 1177 BROADWAY STE 6
Second Line :
City : CHULA VISTA
State : CA
Zip : 91911-2770
Country : US
Telephone Number : 858-264-5858
Fax Number :
Provider Business Practice Location Address
First Line : 1177 BROADWAY STE 6
Second Line :
City : CHULA VISTA
State : CA
Zip : 91911-2770
Country : US
Telephone Number : 858-264-5858
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2025
Last Update Date : 05/29/2025

Similar Medicare Providers

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1467346114 — AUREN ISAACSON
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1417842089 — JOSEPHINE VERA
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1124913702 — STEPHANEE PADILLA
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Practice Fax:

Directions to “ EDYLLE FERRERAS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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