MEDICARE: LISBET BATISTA PEREZ

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-25-409094	FL

General Provider Information

NPI Number	:	1205632627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISBET BATISTA PEREZ

Provider Business Mailing Address
First Line	:	3863 CORRIGAN CT
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-4005
Country	:	US
Telephone Number	:	786-425-7465
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 BELVEDERE RD E-300
Second Line	:	SUITE 31
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-1554
Country	:	US
Telephone Number	:	561-421-0047
Fax Number	:	561-421-0023

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

Provider Enumeration Date	:	02/25/2025
Last Update Date	:	02/25/2025

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Directions to “ LISBET BATISTA PEREZ ” Practice Location

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