MEDICARE: LEINY MACHADO

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		FL

General Provider Information

NPI Number	:	1669029146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEINY MACHADO

Provider Business Mailing Address
First Line	:	14030 SW 39TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-6423
Country	:	US
Telephone Number	:	786-569-4933
Fax Number	:

Provider Business Practice Location Address
First Line	:	14030 SW 39TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-6423
Country	:	US
Telephone Number	:	786-569-4933
Fax Number	:

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

Provider Enumeration Date	:	08/20/2019
Last Update Date	:	08/20/2019

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Directions to “ LEINY MACHADO ” Practice Location

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