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NPI Code Detail

MEDICARE: MICAELA CARRIZALES

MEDICARE: MICAELA CARRIZALES
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 TechnicianR-24558LA

General Provider Information

NPI Number : 1679420277
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICAELA CARRIZALES
Provider Business Mailing Address
First Line : 170 TRICHEL LN
Second Line :
City : MONROE
State : LA
Zip : 71203-9606
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 505 GLENMAR AVE
Second Line :
City : MONROE
State : LA
Zip : 71201-5309
Country : US
Telephone Number : 318-327-8223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

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Directions to “ MICAELA CARRIZALES ” Practice Location

Language Start Address Practice Location
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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