MEDICARE: NEYLA FLEURILUS

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	374700000X	Technician
2	103K00000X	Behavior Analyst	1-24-72194	FL

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	:	1023600475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEYLA FLEURILUS

Provider Business Mailing Address
First Line	:	6626 INWOOD
Second Line	:
City	:	NORTH LAUDERDALE
State	:	FL
Zip	:	33068-3818
Country	:	US
Telephone Number	:	786-647-2127
Fax Number	:

Provider Business Practice Location Address
First Line	:	6626 INWOOD
Second Line	:
City	:	NORTH LAUDERDALE
State	:	FL
Zip	:	33068-3818
Country	:	US
Telephone Number	:	954-934-3989
Fax Number	:

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

Provider Enumeration Date	:	02/08/2021
Last Update Date	:	06/12/2024

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Directions to “ NEYLA FLEURILUS ” Practice Location

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