MEDICARE: MARIA FELIPE

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

Other Identifiers

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

General Provider Information

NPI Number	:	1013645837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA FELIPE

Provider Business Mailing Address
First Line	:	2908 W LEROY ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-1252
Country	:	US
Telephone Number	:	305-796-8952
Fax Number	:

Provider Business Practice Location Address
First Line	:	2908 W LEROY ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-1252
Country	:	US
Telephone Number	:	305-796-8952
Fax Number	:

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

Provider Enumeration Date	:	08/10/2022
Last Update Date	:	03/19/2026

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Directions to “ MARIA FELIPE ” Practice Location

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