Healthcare Provider Details
I. General information
NPI: 1881983740
Provider Name (Legal Business Name): CLAUDIA IVETTE MAX BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/31/2011
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5305 GREENWOOD AVE
WEST PALM BEACH FL
33407-2451
US
IV. Provider business mailing address
3224 S BISMARK LN APT 106
JUPITER FL
33458-8487
US
V. Phone/Fax
- Phone: 561-557-6651
- Fax:
- Phone: 203-623-2714
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | 1742 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: