MEDICARE: ISABELLA HOWERTON

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	1-21-50433

General Provider Information

NPI Number	:	1356905012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISABELLA HOWERTON

Provider Business Mailing Address
First Line	:	2021 SW 82ND AVE
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33324-5407
Country	:	US
Telephone Number	:	954-224-8688
Fax Number	:

Provider Business Practice Location Address
First Line	:	2035 SW 82ND AVE
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33324-5407
Country	:	US
Telephone Number	:	954-224-8688
Fax Number	:

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

Provider Enumeration Date	:	04/29/2019
Last Update Date	:	01/21/2024

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Directions to “ ISABELLA HOWERTON ” Practice Location

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