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NPI Code Detail

MEDICARE: JONIEL MOZO GUATEMALA

MEDICARE: JONIEL MOZO GUATEMALA
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 : 1891346425
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONIEL MOZO GUATEMALA
Provider Business Mailing Address
First Line : 7090 SAMUEL MORSE DR STE 100
Second Line :
City : COLUMBIA
State : MD
Zip : 21046-3444
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 258 NAJOLES RD STE K-M
Second Line :
City : MILLERSVILLE
State : MD
Zip : 21108-2676
Country : US
Telephone Number : 888-344-5977
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2019
Last Update Date : 06/20/2025

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Directions to “ JONIEL MOZO GUATEMALA ” Practice Location

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