MEDICARE: LENA OPALKA BCBA

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
2	103K00000X	Behavior Analyst

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	:	1104361575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LENA OPALKA BCBA

Provider Business Mailing Address
First Line	:	16173 MARIPOSA CIR N
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33331-4637
Country	:	US
Telephone Number	:	954-646-2535
Fax Number	:

Provider Business Practice Location Address
First Line	:	16173 MARIPOSA CIR N
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33331-4637
Country	:	US
Telephone Number	:	954-646-2535
Fax Number	:

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

Provider Enumeration Date	:	12/21/2016
Last Update Date	:	09/06/2024

Similar Medicare Providers

1922725738 — MARIA VIOLA MOISE
Practice Location Address:

4933 NW 43RD ST
LAUDERDALE LAKES, FL
33319-4637

Practice Phone: 786-357-9854
Practice Fax: 954-827-2424

1679856793 — MRS. BELINDA JUNE WALTERS P.T.
Practice Location Address:

16434 SW 67TH CT
FORT LAUDERDALE, FL
33331-4613

Practice Phone: 954-434-6783
Practice Fax:

1568700938 — AIDA J MONTENEGRO
Practice Location Address:

15801 SHERIDAN ST
FORT LAUDERDALE, FL
33331-3487

Practice Phone: 954-442-6875
Practice Fax: 954-442-5061

1639579626 — DR. KELLY GUTHRIE D.M.D.
Practice Location Address:

16443 SEGOVIA CIR S
FORT LAUDERDALE, FL
33331-4622

Practice Phone: 954-347-2308
Practice Fax:

1457899684 — SOUTH BROWARD HOSPITAL DISTRICT
Practice Location Address:

16620 SHERIDAN ST
FORT LAUDERDALE, FL
33331-4128

Practice Phone: 954-265-3451
Practice Fax: 954-265-7747

1710415294 — MARIA CLAUDIA SEGRERA PA
Practice Location Address:

16636 SHERIDAN ST
FORT LAUDERDALE, FL
33331-4128

Practice Phone: 954-228-6661
Practice Fax:

Directions to “ LENA OPALKA BCBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.