MEDICARE: ELIANY LEMAS BRITO

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1366295909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIANY LEMAS BRITO

Provider Business Mailing Address
First Line	:	1720 FUNSTON ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-6457
Country	:	US
Telephone Number	:	786-658-6912
Fax Number	:

Provider Business Practice Location Address
First Line	:	1720 FUNSTON ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-6457
Country	:	US
Telephone Number	:	786-658-6912
Fax Number	:

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

Provider Enumeration Date	:	04/11/2024
Last Update Date	:	04/11/2024

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Directions to “ ELIANY LEMAS BRITO ” Practice Location

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