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NPI Code Detail

MEDICARE: CARMEN M CEDENO LABOY

MEDICARE: CARMEN M CEDENO LABOY
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 : 1770140022
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARMEN M CEDENO LABOY
Provider Business Mailing Address
First Line : 450 PETERSBURG TER
Second Line :
City : PLANTATION
State : FL
Zip : 33325-3609
Country : US
Telephone Number : 787-564-0855
Fax Number :
Provider Business Practice Location Address
First Line : 13839 SW 139TH CT
Second Line :
City : MIAMI
State : FL
Zip : 33186-5554
Country : US
Telephone Number : 786-250-4423
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2019
Last Update Date : 05/22/2019

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Directions to “ CARMEN M CEDENO LABOY ” Practice Location

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