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NPI Code Detail

MEDICARE: BIANCA C PARDO

MEDICARE: BIANCA C PARDO
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 TechnicianRBT-23-288909FL

Other Identifiers

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

General Provider Information

NPI Number : 1881479988
Entity Type Code : Individual
Provider Name (Legal Business Name) : BIANCA C PARDO
Provider Business Mailing Address
First Line : 1519 AVLEIGH CIR
Second Line :
City : ORLANDO
State : FL
Zip : 32824-6459
Country : US
Telephone Number : 407-865-3404
Fax Number :
Provider Business Practice Location Address
First Line : 1519 AVLEIGH CIR
Second Line :
City : ORLANDO
State : FL
Zip : 32824-6459
Country : US
Telephone Number : 407-865-3404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2023
Last Update Date : 08/28/2023

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Directions to “ BIANCA C PARDO ” Practice Location

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