MEDICARE: IRENE BOTROS

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	B362-413-77-645-0	FL

General Provider Information

NPI Number	:	1003775099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRENE BOTROS

Provider Business Mailing Address
First Line	:	4157 LAGOON SHORE DR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-8605
Country	:	US
Telephone Number	:	561-699-3413
Fax Number	:

Provider Business Practice Location Address
First Line	:	4157 LAGOON SHORE DR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-8605
Country	:	US
Telephone Number	:	561-699-3413
Fax Number	:

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

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

Similar Medicare Providers

1902911589 — DR. LAWRENCE COHEN M.D.
Practice Location Address:

204 LAKE DR
STERLING, VA
20164-8605

Practice Phone: 703-430-2321
Practice Fax: 703-430-0619

1326172396 — SCOTT W RALPH, DDS MS PS
Practice Location Address:

22910 E APPLEWAY AVE , SUITE 3
LIBERTY LAKE, WA
99019-8605

Practice Phone: 509-892-9284
Practice Fax: 509-892-4005

1235250812 — AARON G BINNS D.C. P.S.
Practice Location Address:

22910 E APPLEWAY AVE , SUITE 7
LIBERTY LAKE, WA
99019-8605

Practice Phone: 509-242-0911
Practice Fax: 509-242-0913

1245351402 — MRS. MARY E KULISCH LMT
Practice Location Address:

22910 E APPLEWAY AVE , SUITE 7
LIBERTY LAKE, WA
99019-8605

Practice Phone: 509-242-0911
Practice Fax: 509-242-0913

1275654402 — ALEX SIZOV LMT
Practice Location Address:

22910 E APPLEWAY AVE , SUITE 7
LIBERTY LAKE, WA
99019-8605

Practice Phone: 509-242-0911
Practice Fax: 509-242-0913

1952522823 — MRS. CHRISTY LYNN CHAMBERLAIN
Practice Location Address:

22910 E APPLE WAY , SUITE 3
LIBERTY LAKE, WA
99019-8605

Practice Phone: 509-891-2856
Practice Fax: 509-891-0125

Directions to “ IRENE BOTROS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.