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NPI Code Detail

MEDICARE: LEA TIANA CARDENAS

MEDICARE:   LEA TIANA CARDENAS
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 TechnicianIL

General Provider Information

NPI Number : 1851245542
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEA TIANA CARDENAS
Provider Business Mailing Address
First Line : 996 ROYAL MARCO WAY
Second Line :
City : MARCO ISLAND
State : FL
Zip : 34145-1829
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 112 S WASHINGTON ST # 100
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-5333
Country : US
Telephone Number : 331-826-0226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2026
Last Update Date : 02/21/2026

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Directions to “ LEA TIANA CARDENAS ” Practice Location

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