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NPI Code Detail

MEDICARE: MILDREY SAAVEDRA RBT-22-232459

MEDICARE:   MILDREY  SAAVEDRA  RBT-22-232459
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 TechnicianRBT-22-232459FL

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 : 1780309526
Entity Type Code : Individual
Provider Name (Legal Business Name) : MILDREY SAAVEDRA RBT-22-232459
Provider Business Mailing Address
First Line : 2906 11TH ST W
Second Line :
City : LEHIGH ACRES
State : FL
Zip : 33971-5350
Country : US
Telephone Number : 239-223-6803
Fax Number :
Provider Business Practice Location Address
First Line : 2906 11TH ST W
Second Line :
City : LEHIGH ACRES
State : FL
Zip : 33971-5350
Country : US
Telephone Number : 239-223-6803
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2022
Last Update Date : 05/18/2026

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Directions to “ MILDREY SAAVEDRA RBT-22-232459” Practice Location

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