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NPI Code Detail

MEDICARE: LISHNERIS VEGA RBT

MEDICARE: LISHNERIS VEGA RBT
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
1106S00000XBehavior TechnicianRBT-20-137291FL

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 : 1851020978
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISHNERIS VEGA RBT
Provider Business Mailing Address
First Line : 11317 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32825-4435
Country : US
Telephone Number : 321-400-5254
Fax Number :
Provider Business Practice Location Address
First Line : 6900 S ORANGE BLOSSOM TRL STE 400
Second Line :
City : ORLANDO
State : FL
Zip : 32809-5734
Country : US
Telephone Number : 407-602-7442
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2022
Last Update Date : 01/08/2026

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Directions to “ LISHNERIS VEGA RBT” Practice Location

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