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NPI Code Detail

MEDICARE: EVA CHARRON HERRERA

MEDICARE: EVA CHARRON HERRERA
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 : 1710495197
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVA CHARRON HERRERA
Provider Business Mailing Address
First Line : 12485 SW 137TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33186-4216
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1717 E CARY ST
Second Line :
City : RICHMOND
State : VA
Zip : 23223-7024
Country : US
Telephone Number : 804-215-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2018
Last Update Date : 04/23/2025

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Directions to “ EVA CHARRON HERRERA ” Practice Location

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