MEDICARE: MAURA DUENAS M.S.

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	101YM0800X	Mental Health Counselor
2	106S00000X	Behavior Technician		FL

General Provider Information

NPI Number	:	1184349714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAURA DUENAS M.S.

Provider Business Mailing Address
First Line	:	2547 OKLAHOMA ST
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-4207
Country	:	US
Telephone Number	:	561-402-5290
Fax Number	:

Provider Business Practice Location Address
First Line	:	2547 OKLAHOMA ST
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-4207
Country	:	US
Telephone Number	:	561-402-5290
Fax Number	:

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

Provider Enumeration Date	:	10/06/2022
Last Update Date	:	04/11/2025

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