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NPI Code Detail

MEDICARE: MARIA NIEVES

MEDICARE: MARIA NIEVES
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 : 1881553865
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA NIEVES
Provider Business Mailing Address
First Line : 420 HAWTHORNE LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-2312
Country : US
Telephone Number : 704-780-4271
Fax Number :
Provider Business Practice Location Address
First Line : 420 HAWTHORNE LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-2312
Country : US
Telephone Number : 704-780-4271
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2026
Last Update Date : 01/16/2026

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Directions to “ MARIA NIEVES ” Practice Location

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