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NPI Code Detail

MEDICARE: ENEDIER TRIANA ABRAHAN

MEDICARE:   ENEDIER  TRIANA ABRAHAN
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 : 1669337283
Entity Type Code : Individual
Provider Name (Legal Business Name) : ENEDIER TRIANA ABRAHAN
Provider Business Mailing Address
First Line : 5314 LAKE AVE
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33405-3528
Country : US
Telephone Number : 305-339-7428
Fax Number :
Provider Business Practice Location Address
First Line : 5314 LAKE AVE
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33405-3528
Country : US
Telephone Number : 305-339-7428
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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Directions to “ ENEDIER TRIANA ABRAHAN ” Practice Location

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