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NPI Code Detail

MEDICARE: ASHLEY CARDOZA

MEDICARE: ASHLEY CARDOZA
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 : 1811550544
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY CARDOZA
Provider Business Mailing Address
First Line : 34 BERRY ST
Second Line :
City : MILFORD
State : CT
Zip : 06461-2601
Country : US
Telephone Number : 203-645-0650
Fax Number :
Provider Business Practice Location Address
First Line : 77 HARTLAND ST STE 108
Second Line :
City : EAST HARTFORD
State : CT
Zip : 06108-3259
Country : US
Telephone Number : 888-754-0398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2019
Last Update Date : 09/08/2022

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1043918782 — LISETTE CANTONE
Practice Location Address:
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06108-3259
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Practice Fax:

Directions to “ ASHLEY CARDOZA ” Practice Location

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