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NPI Code Detail

MEDICARE: YOELMIS CEJA

MEDICARE:   YOELMIS  CEJA
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

General Provider Information

NPI Number : 1821622580
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOELMIS CEJA
Provider Business Mailing Address
First Line : 8555 CAVA DR
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-8717
Country : US
Telephone Number : 909-749-5204
Fax Number : 909-774-0113
Provider Business Practice Location Address
First Line : 8555 CAVA DR
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-8717
Country : US
Telephone Number : 909-749-5204
Fax Number : 909-774-0113
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2020
Last Update Date : 03/02/2020

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Directions to “ YOELMIS CEJA ” Practice Location

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