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NPI Code Detail

MEDICARE: RUTH MARIA LORENZO BCBA

MEDICARE:   RUTH MARIA LORENZO  BCBA
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
1103K00000XBehavior Analyst1-26-90348FL
2106S00000XBehavior TechnicianRBT-21-194190FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21-26-90348OTHERFLBCBA

General Provider Information

NPI Number : 1649938952
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUTH MARIA LORENZO BCBA
Provider Business Mailing Address
First Line : 29250 SW 163RD CT
Second Line :
City : HOMESTEAD
State : FL
Zip : 33033-4117
Country : US
Telephone Number : 305-720-0492
Fax Number :
Provider Business Practice Location Address
First Line : 11100 SW 184TH ST
Second Line :
City : CUTLER BAY
State : FL
Zip : 33157-6603
Country : US
Telephone Number : 305-720-0492
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2021
Last Update Date : 06/03/2026

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Directions to “ RUTH MARIA LORENZO BCBA” Practice Location

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