MEDICARE: LISBET PEREZ NODA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	106S00000X	Behavior Technician
2	103K00000X	Behavior Analyst
3	106E00000X	Assistant 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	:	1154972685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISBET PEREZ NODA

Provider Business Mailing Address
First Line	:	13360 SW 52ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-5218
Country	:	US
Telephone Number	:	786-424-1006
Fax Number	:

Provider Business Practice Location Address
First Line	:	13360 SW 52ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-5218
Country	:	US
Telephone Number	:	786-424-1006
Fax Number	:

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

Provider Enumeration Date	:	09/25/2019
Last Update Date	:	08/07/2023

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Directions to “ LISBET PEREZ NODA ” Practice Location

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