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NPI Code Detail

MEDICARE: ISABELLA BUENO

MEDICARE: ISABELLA BUENO
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 Technician23-291072IN

General Provider Information

NPI Number : 1811794324
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABELLA BUENO
Provider Business Mailing Address
First Line : 5155 PENNWOOD DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46205-1585
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5155 PENNWOOD DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46205-1585
Country : US
Telephone Number : 317-571-1042
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2025
Last Update Date : 03/03/2025

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Directions to “ ISABELLA BUENO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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