MEDICARE: BEATRIZ REINALDO BELLO

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-20-136862	FL

General Provider Information

NPI Number	:	1447968714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEATRIZ REINALDO BELLO

Provider Business Mailing Address
First Line	:	243 W 77TH ST APT 106
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33014-5419
Country	:	US
Telephone Number	:	786-613-3419
Fax Number	:

Provider Business Practice Location Address
First Line	:	243 W 77TH ST APT 106
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33014-5419
Country	:	US
Telephone Number	:	786-613-3419
Fax Number	:

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

Provider Enumeration Date	:	11/07/2022
Last Update Date	:	11/07/2022

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