MEDICARE: CLAUDIA CHAVEZ IZAGUIRRE

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	RBT-21-169054	FL

General Provider Information

NPI Number	:	1205591112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA CHAVEZ IZAGUIRRE

Provider Business Mailing Address
First Line	:	11690 NW 1ST ST APT 3
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33172-4974
Country	:	US
Telephone Number	:	786-714-9681
Fax Number	:

Provider Business Practice Location Address
First Line	:	11690 NW 1ST ST APT 3
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33172-4974
Country	:	US
Telephone Number	:	786-714-9681
Fax Number	:

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

Provider Enumeration Date	:	11/04/2021
Last Update Date	:	03/17/2026

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