MEDICARE: JOSE ALGARIN TEJADA

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-26-519987	FL

General Provider Information

NPI Number	:	1174479638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE ALGARIN TEJADA

Provider Business Mailing Address
First Line	:	10760 CAMERON CT APT 106
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33324-4177
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10760 CAMERON CT APT 106
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33324-4177
Country	:	US
Telephone Number	:	754-271-3013
Fax Number	:

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

Provider Enumeration Date	:	03/07/2026
Last Update Date	:	03/07/2026

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