MEDICARE: ELIZABETH MARANTE

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	RBT-24-326907	FL

General Provider Information

NPI Number	:	1811754013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH MARANTE

Provider Business Mailing Address
First Line	:	860 W 53RD ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-2417
Country	:	US
Telephone Number	:	786-999-4708
Fax Number	:

Provider Business Practice Location Address
First Line	:	3800 S OCEAN DR STE 230
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33019-2930
Country	:	US
Telephone Number	:	787-408-6353
Fax Number	:

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

Provider Enumeration Date	:	03/04/2024
Last Update Date	:	03/04/2024

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Directions to “ ELIZABETH MARANTE ” Practice Location

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