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NPI Code Detail

MEDICARE: SANDRA CRUZ BERLANGA

MEDICARE: SANDRA CRUZ BERLANGA
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 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 : 1700523420
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA CRUZ BERLANGA
Provider Business Mailing Address
First Line : 12017 TUSCANY BAY DR
Second Line :
City : TAMPA
State : FL
Zip : 33626-1367
Country : US
Telephone Number : 813-538-2441
Fax Number :
Provider Business Practice Location Address
First Line : 12017 TUSCANY BAY DR
Second Line :
City : TAMPA
State : FL
Zip : 33626-1367
Country : US
Telephone Number : 813-538-2441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2022
Last Update Date : 05/14/2022

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Directions to “ SANDRA CRUZ BERLANGA ” Practice Location

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