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NPI Code Detail

MEDICARE: IRVIN ALEXIS HERRERA FIGUEROA

MEDICARE: IRVIN ALEXIS HERRERA FIGUEROA
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 : 1891377966
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRVIN ALEXIS HERRERA FIGUEROA
Provider Business Mailing Address
First Line : 670 GOODLETTE-FRANK RD N
Second Line :
City : NAPLES
State : FL
Zip : 34102-5614
Country : US
Telephone Number : 239-316-7656
Fax Number : 239-331-2581
Provider Business Practice Location Address
First Line : 670 GOODLETTE-FRANK RD N
Second Line :
City : NAPLES
State : FL
Zip : 34102-5614
Country : US
Telephone Number : 239-316-7656
Fax Number : 239-331-2581
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2021
Last Update Date : 04/27/2021

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Directions to “ IRVIN ALEXIS HERRERA FIGUEROA ” Practice Location

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