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NPI Code Detail

MEDICARE: MS. ELISA FILARDO BCBA

MEDICARE: MS. ELISA FILARDO BCBA
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 TechnicianFL
2103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124651427
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELISA FILARDO BCBA
Provider Business Mailing Address
First Line : 2136 RANCHITA TRL
Second Line :
City : HOLIDAY
State : FL
Zip : 34690-4339
Country : US
Telephone Number : 813-760-6166
Fax Number :
Provider Business Practice Location Address
First Line : 9405 BARNSTEAD LN
Second Line :
City : PORT RICHEY
State : FL
Zip : 34668-4302
Country : US
Telephone Number : 407-456-2722
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2020
Last Update Date : 05/01/2023

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