MEDICARE: LEYDA F ALMEIDA LORENZO

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	RBT24353492	FL

General Provider Information

NPI Number	:	1033943964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEYDA F ALMEIDA LORENZO

Provider Business Mailing Address
First Line	:	17471 NE 19TH AVE
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-2213
Country	:	US
Telephone Number	:	786-753-3716
Fax Number	:

Provider Business Practice Location Address
First Line	:	17471 NE 19TH AVE
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-2213
Country	:	US
Telephone Number	:	786-753-3716
Fax Number	:

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

Provider Enumeration Date	:	09/02/2024
Last Update Date	:	09/02/2024

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Directions to “ LEYDA F ALMEIDA LORENZO ” Practice Location

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