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NPI Code Detail

MEDICARE: DEBORAH QUINTANILLA

MEDICARE: DEBORAH QUINTANILLA
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 : 1659926640
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH QUINTANILLA
Provider Business Mailing Address
First Line : 7108 N 23RD ST STE C
Second Line :
City : MCALLEN
State : TX
Zip : 78504-6507
Country : US
Telephone Number : 956-405-3690
Fax Number : 956-405-3690
Provider Business Practice Location Address
First Line : 7108 N 23RD ST STE C
Second Line :
City : MCALLEN
State : TX
Zip : 78504-6507
Country : US
Telephone Number : 956-405-3690
Fax Number : 956-405-3690
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2019
Last Update Date : 08/06/2019

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Directions to “ DEBORAH QUINTANILLA ” Practice Location

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