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NPI Code Detail

MEDICARE: KEIRA ALEXA MENENDEZ

MEDICARE: KEIRA ALEXA MENENDEZ
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
1106S00000XBehavior TechnicianFL

General Provider Information

NPI Number : 1225987050
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEIRA ALEXA MENENDEZ
Provider Business Mailing Address
First Line : 3744 GRECKO DR
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33543-5348
Country : US
Telephone Number : 813-585-1797
Fax Number :
Provider Business Practice Location Address
First Line : 3744 GRECKO DR
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33543-5348
Country : US
Telephone Number : 813-585-1797
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2026
Last Update Date : 01/26/2026

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Directions to “ KEIRA ALEXA MENENDEZ ” Practice Location

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