MEDICARE: BEATRIZ BESSE BEYRIES REGISTERED BEHAVIOR

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

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	:	1730737438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEATRIZ BESSE BEYRIES REGISTERED BEHAVIOR

Provider Business Mailing Address
First Line	:	1521 FOREST HILL BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-6031
Country	:	US
Telephone Number	:	561-567-8286
Fax Number	:	561-249-6406

Provider Business Practice Location Address
First Line	:	510 24TH AVE N APT 206
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-6180
Country	:	US
Telephone Number	:	561-891-2663
Fax Number	:

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

Provider Enumeration Date	:	08/27/2019
Last Update Date	:	08/27/2019

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Directions to “ BEATRIZ BESSE BEYRIES REGISTERED BEHAVIOR” Practice Location

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