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NPI Code Detail

MEDICARE: KLEDIA DAYANA CONCEPCION GARCIA

MEDICARE:   KLEDIA DAYANA CONCEPCION GARCIA
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 : 1982443925
Entity Type Code : Individual
Provider Name (Legal Business Name) : KLEDIA DAYANA CONCEPCION GARCIA
Provider Business Mailing Address
First Line : 17455 NW 94TH CT APT 205
Second Line :
City : HIALEAH
State : FL
Zip : 33018-4442
Country : US
Telephone Number : 786-709-5567
Fax Number :
Provider Business Practice Location Address
First Line : 17455 NW 94TH CT APT 205
Second Line :
City : HIALEAH
State : FL
Zip : 33018-4442
Country : US
Telephone Number : 786-709-5567
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2024
Last Update Date : 03/09/2026

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Directions to “ KLEDIA DAYANA CONCEPCION GARCIA ” Practice Location

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