MEDICARE: ATENAS POU

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		FL
2	247200000X	Other Technician

General Provider Information

NPI Number	:	1205527132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ATENAS POU

Provider Business Mailing Address
First Line	:	845 NW 91ST TER
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-1164
Country	:	US
Telephone Number	:	954-529-4612
Fax Number	:

Provider Business Practice Location Address
First Line	:	8395 W OAKLAND PARK BLVD STE A
Second Line	:
City	:	SUNRISE
State	:	FL
Zip	:	33351-7301
Country	:	US
Telephone Number	:	561-818-1367
Fax Number	:

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

Provider Enumeration Date	:	05/19/2023
Last Update Date	:	03/25/2026

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Directions to “ ATENAS POU ” Practice Location

Language	Start Address	Practice Location

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