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NPI Code Detail

MEDICARE: VANESSA ANDREA ASAFF

MEDICARE:   VANESSA ANDREA ASAFF
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-19-108868FL

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 : 1891334165
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA ANDREA ASAFF
Provider Business Mailing Address
First Line : 10599 W 33RD CT
Second Line :
City : HIALEAH
State : FL
Zip : 33018-2115
Country : US
Telephone Number : 305-399-4671
Fax Number :
Provider Business Practice Location Address
First Line : 10599 W 33RD CT
Second Line :
City : HIALEAH
State : FL
Zip : 33018-2115
Country : US
Telephone Number : 305-399-4671
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2020
Last Update Date : 10/28/2020

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Directions to “ VANESSA ANDREA ASAFF ” Practice Location

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