MEDICARE: MS. RHONDA J GREENHAW MA, 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
1	103K00000X	Behavior Analyst	20-140	WI

General Provider Information

NPI Number	:	1194016477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RHONDA J GREENHAW MA, BCBA

Provider Business Mailing Address
First Line	:	3832 SW 33RD CT
Second Line	:
City	:	WEST PARK
State	:	FL
Zip	:	33023-5631
Country	:	US
Telephone Number	:	262-707-3257
Fax Number	:

Provider Business Practice Location Address
First Line	:	6303 BLUE LAGOON DR STE 400
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-6040
Country	:	US
Telephone Number	:	833-458-0386
Fax Number	:

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

Provider Enumeration Date	:	04/21/2011
Last Update Date	:	07/27/2023

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