MEDICARE: BRANLEE ESPINO

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	106E00000X	Assistant Behavior Analyst	0-2515821	FL
2	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	:	1033872593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANLEE ESPINO

Provider Business Mailing Address
First Line	:	5103 SW 137TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-5110
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5103 SW 137TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-5110
Country	:	US
Telephone Number	:	305-764-7199
Fax Number	:

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

Provider Enumeration Date	:	10/20/2021
Last Update Date	:	02/13/2025

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Directions to “ BRANLEE ESPINO ” Practice Location

Language	Start Address	Practice Location

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