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NPI Code Detail

MEDICARE: JEAN ELOISE CLAUDIO

MEDICARE: JEAN ELOISE CLAUDIO
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 : 1972094472
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEAN ELOISE CLAUDIO
Provider Business Mailing Address
First Line : 858 HUNTINGTON AVE APT 3
Second Line :
City : BOSTON
State : MA
Zip : 02115-6200
Country : US
Telephone Number : 603-714-2455
Fax Number :
Provider Business Practice Location Address
First Line : 12777 VALLEY VIEW ST STE 121
Second Line :
City : GARDEN GROVE
State : CA
Zip : 92845-2521
Country : US
Telephone Number : 562-682-8045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2018
Last Update Date : 05/08/2023

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Directions to “ JEAN ELOISE CLAUDIO ” Practice Location

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