MEDICARE: JENNIFHER M DE LA HOZ ISAZA

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-25-456485

General Provider Information

NPI Number	:	1205714235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFHER M DE LA HOZ ISAZA

Provider Business Mailing Address
First Line	:	267 PORT AUGUSTINE CIR APT 202
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-4839
Country	:	US
Telephone Number	:	813-407-8008
Fax Number	:

Provider Business Practice Location Address
First Line	:	267 PORT AUGUSTINE CIR APT 202
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-4839
Country	:	US
Telephone Number	:	813-407-8008
Fax Number	:

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

Provider Enumeration Date	:	08/26/2025
Last Update Date	:	06/11/2026

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