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NPI Code Detail

MEDICARE: BRENDA IRIBAR

MEDICARE: BRENDA IRIBAR
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
1106S00000XBehavior Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104490655
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA IRIBAR
Provider Business Mailing Address
First Line : 1564 W 34TH ST
Second Line :
City : RIVIERA BEACH
State : FL
Zip : 33404-2912
Country : US
Telephone Number : 561-508-0654
Fax Number :
Provider Business Practice Location Address
First Line : 2677 FOREST HILL BLVD STE 109
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33406-5941
Country : US
Telephone Number : 561-433-5050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2021
Last Update Date : 03/14/2026

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Directions to “ BRENDA IRIBAR ” Practice Location

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