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NPI Code Detail

MEDICARE: KEIRSTEN METZ

MEDICARE: KEIRSTEN METZ
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 Technician

General Provider Information

NPI Number : 1326563347
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEIRSTEN METZ
Provider Business Mailing Address
First Line : 1515 INDIAN RIVER BLVD STE A210
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-7107
Country : US
Telephone Number : 772-774-8224
Fax Number : 772-774-8275
Provider Business Practice Location Address
First Line : 1515 INDIAN RIVER BLVD STE A210
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-7107
Country : US
Telephone Number : 772-774-8224
Fax Number : 772-774-8275
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2017
Last Update Date : 07/21/2022

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Directions to “ KEIRSTEN METZ ” Practice Location

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