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NPI Code Detail

MEDICARE: DANIELA GALVEZ MORENO

MEDICARE: DANIELA GALVEZ MORENO
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
1103K00000XBehavior Analyst0167225FL
2106E00000XAssistant Behavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700325693
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELA GALVEZ MORENO
Provider Business Mailing Address
First Line : 644 FERGUSON DR STE 200
Second Line :
City : ORLANDO
State : FL
Zip : 32805-1023
Country : US
Telephone Number : 407-574-4629
Fax Number : 407-574-3091
Provider Business Practice Location Address
First Line : 644 FERGUSON DR STE 200
Second Line :
City : ORLANDO
State : FL
Zip : 32805-1023
Country : US
Telephone Number : 407-574-4629
Fax Number : 407-574-3091
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2017
Last Update Date : 03/19/2021

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Directions to “ DANIELA GALVEZ MORENO ” Practice Location

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