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NPI Code Detail

MEDICARE: MICHAELA RHODES

MEDICARE:   MICHAELA  RHODES
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
2103K00000XBehavior Analyst1-25-81445FL

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 : 1124726047
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAELA RHODES
Provider Business Mailing Address
First Line : 1239 E NEWPORT CENTER DR
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33442-7711
Country : US
Telephone Number : 754-444-3707
Fax Number :
Provider Business Practice Location Address
First Line : 5439 BEAUMONT CENTER BLVD STE 1010
Second Line :
City : TAMPA
State : FL
Zip : 33634-5211
Country : US
Telephone Number : 813-934-7632
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2023
Last Update Date : 05/28/2025

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Directions to “ MICHAELA RHODES ” Practice Location

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