MEDICARE: CHIARA CRISTINA HERRERA

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
1	106S00000X	Behavior Technician
2	2355S0801X	Speech-Language Assistant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841915915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHIARA CRISTINA HERRERA

Provider Business Mailing Address
First Line	:	300 PAWNEE TRL
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34747-1527
Country	:	US
Telephone Number	:	321-682-7166
Fax Number	:

Provider Business Practice Location Address
First Line	:	1991 DAVENPORT BLVD
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33837-9201
Country	:	US
Telephone Number	:	863-379-3338
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2022
Last Update Date	:	08/04/2025

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Directions to “ CHIARA CRISTINA HERRERA ” Practice Location

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