MEDICARE: GEMA ROJAS

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
2	103K00000X	Behavior Analyst	1-24-71192	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1194260521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEMA ROJAS

Provider Business Mailing Address
First Line	:	314 NW 24TH PL
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33993-4322
Country	:	US
Telephone Number	:	786-704-2200
Fax Number	:

Provider Business Practice Location Address
First Line	:	314 NW 24TH PL
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33993-4322
Country	:	US
Telephone Number	:	786-704-2200
Fax Number	:

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

Provider Enumeration Date	:	12/20/2016
Last Update Date	:	06/20/2024

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Directions to “ GEMA ROJAS ” Practice Location

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