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NPI Code Detail

MEDICARE: EDUARDO BENJAMIN JARAMILLO

MEDICARE: EDUARDO BENJAMIN JARAMILLO
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 TechnicianCA

General Provider Information

NPI Number : 1952253247
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDUARDO BENJAMIN JARAMILLO
Provider Business Mailing Address
First Line : 996 ROYAL MARCO WAY
Second Line :
City : MARCO ISLAND
State : FL
Zip : 34145-1829
Country : US
Telephone Number : 469-694-1754
Fax Number : 818-758-8015
Provider Business Practice Location Address
First Line : 10515 BALBOA BLVD STE 290
Second Line :
City : GRANADA HILLS
State : CA
Zip : 91344-6362
Country : US
Telephone Number : 747-353-0081
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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Directions to “ EDUARDO BENJAMIN JARAMILLO ” Practice Location

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