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NPI Code Detail

MEDICARE: MISS YENY FIRVIDA

MEDICARE: MISS YENY FIRVIDA
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
1106S00000XBehavior TechnicianRBT-23-301891FL

Other Identifiers

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

General Provider Information

NPI Number : 1447031497
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS YENY FIRVIDA
Provider Business Mailing Address
First Line : 622 S FEDERAL HWY APT 2
Second Line :
City : LAKE WORTH BEACH
State : FL
Zip : 33460-4905
Country : US
Telephone Number : 561-888-5568
Fax Number :
Provider Business Practice Location Address
First Line : 622 S FEDERAL HWY APT 2
Second Line :
City : LAKE WORTH BEACH
State : FL
Zip : 33460-4905
Country : US
Telephone Number : 561-888-5568
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2023
Last Update Date : 10/06/2023

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Directions to “ MISS YENY FIRVIDA ” Practice Location

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