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NPI Code Detail

MEDICARE: ALLAHI ZUWANIE MARTINEZ COLLAZO

MEDICARE: ALLAHI ZUWANIE MARTINEZ COLLAZO
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
1106E00000XAssistant Behavior Analyst
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1720944564
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLAHI ZUWANIE MARTINEZ COLLAZO
Provider Business Mailing Address
First Line : 300 INTERNATIONAL PKWY STE 200
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-5028
Country : US
Telephone Number : 866-610-0580
Fax Number : 866-611-1558
Provider Business Practice Location Address
First Line : 13553 ATLANTIC BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32225-4225
Country : US
Telephone Number : 904-420-7030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2025
Last Update Date : 12/24/2025

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Directions to “ ALLAHI ZUWANIE MARTINEZ COLLAZO ” 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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