MEDICARE: PATRICIA LOVETTE

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	103K00000X	Behavior Analyst		FL

General Provider Information

NPI Number	:	1205305570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA LOVETTE

Provider Business Mailing Address
First Line	:	1833 N JOG RD APT 208
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-2536
Country	:	US
Telephone Number	:	561-904-1684
Fax Number	:

Provider Business Practice Location Address
First Line	:	1833 N JOG RD APT 208
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-2536
Country	:	US
Telephone Number	:	561-904-1684
Fax Number	:

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

Provider Enumeration Date	:	11/16/2018
Last Update Date	:	11/16/2018

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Directions to “ PATRICIA LOVETTE ” Practice Location

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