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NPI Code Detail

MEDICARE: VICTORIA HASS

MEDICARE: VICTORIA HASS
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 : 1922865971
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA HASS
Provider Business Mailing Address
First Line : PO BOX 33568
Second Line :
City : SAN DIEGO
State : CA
Zip : 92163-3568
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Provider Business Practice Location Address
First Line : 2150 LELARAY ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-2808
Country : US
Telephone Number : 719-266-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2024
Last Update Date : 11/29/2024

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Directions to “ VICTORIA HASS ” Practice Location

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