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NPI Code Detail

MEDICARE: FRIDA JUAREZ

MEDICARE: FRIDA JUAREZ
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 : 1710870274
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRIDA JUAREZ
Provider Business Mailing Address
First Line : 277 E AMADOR AVE STE 101
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-3675
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13071 DUNMOOR DR
Second Line :
City : LEMONT
State : IL
Zip : 60439-2741
Country : US
Telephone Number : 708-792-0162
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2025
Last Update Date : 06/27/2025

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Directions to “ FRIDA JUAREZ ” Practice Location

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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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