MEDICARE: LAURA BLANCO

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
1	106S00000X	Behavior Technician	RBT-24-326278	FL

General Provider Information

NPI Number	:	1104680297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA BLANCO

Provider Business Mailing Address
First Line	:	1723 FOREST LAKES CIR
Second Line	:	APT D
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-5745
Country	:	US
Telephone Number	:	305-850-3338
Fax Number	:

Provider Business Practice Location Address
First Line	:	1723 FOREST LAKES CIR
Second Line	:	APT D
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-5745
Country	:	US
Telephone Number	:	305-850-3338
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2024
Last Update Date	:	02/08/2024

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1518383272 — LISA SWANSON
Practice Location Address:

1026 23RD ST
WEST PALM BEACH, FL
33407-5745

Practice Phone: 561-503-6433
Practice Fax:

1972480630 — HEALING BEACH LLC
Practice Location Address:

603B BRIARWOOD DR
MYRTLE BEACH, SC
29572-5745

Practice Phone: 843-564-3339
Practice Fax: 843-567-1033

1912172362 — MRS. JANICE ANN POLITZ OTR/L
Practice Location Address:

760 INDIAN BEACH LN
SARASOTA, FL
34234-5745

Practice Phone: 941-320-1232
Practice Fax:

1942631379 — MITCHELL BROWN
Practice Location Address:

702 NE 8TH AVE
DELRAY BEACH, FL
33483-5745

Practice Phone: 561-274-1600
Practice Fax: 561-274-1601

1023430980 — DTMB CONSULTANS
Practice Location Address:

702 NE 8TH AVE
DELRAY BEACH, FL
33483-5745

Practice Phone: 561-274-2700
Practice Fax:

Directions to “ LAURA BLANCO ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.