MEDICARE: MARIA JOSE SAENZ

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	RBT-20-138798	FL

General Provider Information

NPI Number	:	1073251831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA JOSE SAENZ

Provider Business Mailing Address
First Line	:	12823 SW 133RD ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-6627
Country	:	US
Telephone Number	:	786-448-9662
Fax Number	:

Provider Business Practice Location Address
First Line	:	12823 SW 133RD ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-6627
Country	:	US
Telephone Number	:	786-448-9662
Fax Number	:

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

Provider Enumeration Date	:	05/23/2022
Last Update Date	:	05/23/2022

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Directions to “ MARIA JOSE SAENZ ” Practice Location

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