MEDICARE: ELIZABETH BORROTO SIERRA

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	1-25-86493	FL

General Provider Information

NPI Number	:	1417719055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH BORROTO SIERRA

Provider Business Mailing Address
First Line	:	2711 EXCHANGE CT STE A
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-4017
Country	:	US
Telephone Number	:	561-408-3115
Fax Number	:

Provider Business Practice Location Address
First Line	:	2711 EXCHANGE CT STE A
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-4017
Country	:	US
Telephone Number	:	561-408-3115
Fax Number	:

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

Provider Enumeration Date	:	01/29/2024
Last Update Date	:	12/15/2025

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