MEDICARE: JENNIFER ARGUELLES

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	RBT24382744	FL

General Provider Information

NPI Number	:	1790504629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ARGUELLES

Provider Business Mailing Address
First Line	:	9119 NW 191ST TER
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-8416
Country	:	US
Telephone Number	:	954-773-1619
Fax Number	:

Provider Business Practice Location Address
First Line	:	11285 SW 211TH ST STE 207
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33189-2213
Country	:	US
Telephone Number	:	786-366-2089
Fax Number	:

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

Provider Enumeration Date	:	10/08/2024
Last Update Date	:	10/08/2024

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Directions to “ JENNIFER ARGUELLES ” Practice Location

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