MEDICARE: VIVIAN RANCANO

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	BCBA1-15-19659	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1417364324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIVIAN RANCANO

Provider Business Mailing Address
First Line	:	7422 PINE FOREST CIR W
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-3946
Country	:	US
Telephone Number	:	786-473-0664
Fax Number	:

Provider Business Practice Location Address
First Line	:	7422 PINE FOREST CIR W
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-3946
Country	:	US
Telephone Number	:	786-473-0664
Fax Number	:

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

Provider Enumeration Date	:	07/14/2014
Last Update Date	:	03/24/2022

Similar Medicare Providers

1720661689 — LAKE WORTH PEDIATRIC DENTISTRY, PLLC
Practice Location Address:

7109 NAVAJO TRL
LAKE WORTH, TX
76135-3946

Practice Phone: 817-238-6450
Practice Fax:

1073283271 — LWPDA PLLC
Practice Location Address:

7109 NAVAJO TRL
LAKE WORTH, TX
76135-3946

Practice Phone: 817-238-6450
Practice Fax: 817-238-6497

1346332251 — MR. JOESPH GEORGE SAHL PT
Practice Location Address:

1001 12TH AVE STE 201
FORT WORTH, TX
76104-3946

Practice Phone: 817-719-7714
Practice Fax:

1104072065 — DR. SCOTT MCCAULEY DPT, ECS
Practice Location Address:

1001 12TH AVE STE 201
FORT WORTH, TX
76104-3946

Practice Phone: 817-719-7714
Practice Fax: 817-796-1114

1427492941 — DR. KENNETH WHEELER DPT, OCS, NCS
Practice Location Address:

1001 12TH AVE STE 201
FORT WORTH, TX
76104-3946

Practice Phone: 817-719-7714
Practice Fax: 817-796-1114

1740626118 — DR. SARAH KIM DDS, MPH, CPH
Practice Location Address:

7109 NAVAJO TRL
FORT WORTH, TX
76135-3946

Practice Phone: 817-238-6450
Practice Fax:

Directions to “ VIVIAN RANCANO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.