MEDICARE: BX & CO LLC

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

General Provider Information

NPI Number	:	1528759214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BX & CO LLC

Provider Business Mailing Address
First Line	:	2240 W WOOLBRIGHT RD STE 407
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-6367
Country	:	US
Telephone Number	:	305-619-7899
Fax Number	:	561-423-0747

Provider Business Practice Location Address
First Line	:	2240 W WOOLBRIGHT RD STE 407
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-6367
Country	:	US
Telephone Number	:	305-619-7899
Fax Number	:	561-423-0747

Authorized Official
Title or Position	:	OWNER
Name	:	MERCY MARTIN
Credential	:
Telephone Number	:	305-619-7899

Provider Enumeration Date	:	05/15/2023
Last Update Date	:	07/05/2024

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Directions to “BX & CO LLC ” Practice Location

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