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NPI Code Detail

MEDICARE: ITZEL ELENA ARTEAGA BA

MEDICARE: ITZEL ELENA ARTEAGA BA
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 Analyst1-17-25927FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811319759
Entity Type Code : Individual
Provider Name (Legal Business Name) : ITZEL ELENA ARTEAGA BA
Provider Business Mailing Address
First Line : 4620 N STATE ROAD 7 STE 300
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33319-5867
Country : US
Telephone Number : 727-265-5394
Fax Number :
Provider Business Practice Location Address
First Line : 4343 ANCHOR PLAZA PKWY
Second Line :
City : TAMPA
State : FL
Zip : 33634-7537
Country : US
Telephone Number : 561-903-1955
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2014
Last Update Date : 10/09/2024

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Directions to “ ITZEL ELENA ARTEAGA BA” Practice Location

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