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NPI Code Detail

MEDICARE: ANA PONCE

MEDICARE: ANA PONCE
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 Technician25-424049

General Provider Information

NPI Number : 1992656680
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA PONCE
Provider Business Mailing Address
First Line : 335 ARCHDALE DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28217-4212
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 335 ARCHDALE DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28217-4212
Country : US
Telephone Number : 888-392-8642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2026
Last Update Date : 02/07/2026

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Directions to “ ANA PONCE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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