MEDICARE: SAVANNAH BLEILER

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	103K00000X	Behavior Analyst	12366730	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1497249437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAVANNAH BLEILER

Provider Business Mailing Address
First Line	:	313 3RD CT
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-5103
Country	:	US
Telephone Number	:	561-703-1654
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 ROYAL PALM BEACH BLVD
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-7605
Country	:	US
Telephone Number	:	561-567-7930
Fax Number	:

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

Provider Enumeration Date	:	06/21/2018
Last Update Date	:	01/16/2024

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Directions to “ SAVANNAH BLEILER ” Practice Location

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