MEDICARE: BRESHELL M JOHNSON-CHERIZARD

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-23-288903	FL

General Provider Information

NPI Number	:	1548100993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRESHELL M JOHNSON-CHERIZARD

Provider Business Mailing Address
First Line	:	5704 MARBELLA DR
Second Line	:
City	:	PORT RICHEY
State	:	FL
Zip	:	34668-6894
Country	:	US
Telephone Number	:	727-710-1574
Fax Number	:

Provider Business Practice Location Address
First Line	:	32750 OVERPASS RD
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33545-9120
Country	:	US
Telephone Number	:	727-710-1574
Fax Number	:

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

Provider Enumeration Date	:	03/28/2026
Last Update Date	:	03/28/2026

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