MEDICARE: RAYSA MAS

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	:	1396692109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYSA MAS

Provider Business Mailing Address
First Line	:	20513 SW 93RD AVE
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33189-3221
Country	:	US
Telephone Number	:	305-409-7524
Fax Number	:

Provider Business Practice Location Address
First Line	:	20513 SW 93RD AVE
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33189-3221
Country	:	US
Telephone Number	:	305-409-7524
Fax Number	:

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

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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Directions to “ RAYSA MAS ” Practice Location

Language	Start Address	Practice Location

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