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NPI Code Detail

MEDICARE: RAYZA MUNOZ MUNOZ MA, BCBA

MEDICARE: RAYZA MUNOZ MUNOZ MA, BCBA
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

General Provider Information

NPI Number : 1730772831
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYZA MUNOZ MUNOZ MA, BCBA
Provider Business Mailing Address
First Line : 158 NEWARK AVE
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07302-2812
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 158 NEWARK AVE
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07302-2812
Country : US
Telephone Number : 201-324-1700
Fax Number : 201-324-1788
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2021
Last Update Date : 04/20/2021

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