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NPI Code Detail

MEDICARE: KENDRA LALINDE

MEDICARE: KENDRA LALINDE
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
1106E00000XAssistant Behavior Analyst
2103K00000XBehavior Analyst1-20-43843FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10-04-1378OTHERFLBACB
21-20-43843OTHERFLBACB

General Provider Information

NPI Number : 1053554832
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDRA LALINDE
Provider Business Mailing Address
First Line : 8431 DYNASTY DR
Second Line :
City : BOCA RATON
State : FL
Zip : 33433-6841
Country : US
Telephone Number : 954-461-7071
Fax Number :
Provider Business Practice Location Address
First Line : 1000 NW 65TH ST STE 201
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33309-1113
Country : US
Telephone Number : 954-461-7071
Fax Number : 177-267-5910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2009
Last Update Date : 08/07/2020

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Directions to “ KENDRA LALINDE ” Practice Location

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