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NPI Code Detail

MEDICARE: DALIA MARIA BLANCO

MEDICARE:   DALIA MARIA  BLANCO
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

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 : 1750050142
Entity Type Code : Individual
Provider Name (Legal Business Name) : DALIA MARIA BLANCO
Provider Business Mailing Address
First Line : 21600 OXNARD ST STE 1800
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-7807
Country : US
Telephone Number : 818-345-2345
Fax Number :
Provider Business Practice Location Address
First Line : 9970 CENTRAL PARK BLVD N STE 401
Second Line :
City : BOCA RATON
State : FL
Zip : 33428-2252
Country : US
Telephone Number : 305-807-1909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2021
Last Update Date : 10/17/2023

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Directions to “ DALIA MARIA BLANCO ” Practice Location

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