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NPI Code Detail

MEDICARE: MARA FORSGREN

MEDICARE: MARA FORSGREN
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
1103K00000XBehavior Analyst
2106S00000XBehavior Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316408669
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARA FORSGREN
Provider Business Mailing Address
First Line : 14428 ENGLISH LAVENDER DR
Second Line :
City : WIMAUMA
State : FL
Zip : 33598-2429
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4620 N STATE ROAD 7 STE 300
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33319-5867
Country : US
Telephone Number : 855-990-8503
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2019
Last Update Date : 01/14/2026

Similar Medicare Providers

1871684399 — MS. JOAN M RIVERA TORO BCBA, CCC-SLP, MS
Practice Location Address:
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1174820286 — MRS. YILIANA PUERTO BCBA
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1316220122 — ANA CECILIA LIMIA
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1316217474 — MS. SHIKIKA YOUNG BCBA
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1164789871 — KATERY GARCIA
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Directions to “ MARA FORSGREN ” Practice Location

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