MEDICARE: EUVENAGNE JOSEPH

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

General Provider Information

NPI Number	:	1336037845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EUVENAGNE JOSEPH

Provider Business Mailing Address
First Line	:	495 13TH SW STREET
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32962-3296
Country	:	US
Telephone Number	:	772-209-1622
Fax Number	:

Provider Business Practice Location Address
First Line	:	15655 75TH WAY N
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33418-1851
Country	:	US
Telephone Number	:	561-203-8181
Fax Number	:

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

Provider Enumeration Date	:	06/24/2025
Last Update Date	:	06/24/2025

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