MEDICARE: BELKIS CHAVEZ

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-24-383694	FL

General Provider Information

NPI Number	:	1144049123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BELKIS CHAVEZ

Provider Business Mailing Address
First Line	:	1602 E BREEZY LN
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-4408
Country	:	US
Telephone Number	:	561-657-6985
Fax Number	:

Provider Business Practice Location Address
First Line	:	1602 E BREEZY LN
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-4408
Country	:	US
Telephone Number	:	561-657-6985
Fax Number	:

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

Provider Enumeration Date	:	10/07/2024
Last Update Date	:	10/07/2024

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Directions to “ BELKIS CHAVEZ ” Practice Location

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