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NPI Code Detail

MEDICARE: WOODLINE LAUVINCE

MEDICARE: WOODLINE LAUVINCE
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
1103K00000XBehavior Analyst1-23-65243FL

Other Identifiers

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

General Provider Information

NPI Number : 1427565738
Entity Type Code : Individual
Provider Name (Legal Business Name) : WOODLINE LAUVINCE
Provider Business Mailing Address
First Line : 4900 SAND DUNE CIR APT 204
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33417-7548
Country : US
Telephone Number : 352-321-0739
Fax Number : 561-584-5372
Provider Business Practice Location Address
First Line : 9815 CROSS PINE CT
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-2367
Country : US
Telephone Number : 561-223-8076
Fax Number : 561-223-8076
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2018
Last Update Date : 06/04/2023

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Directions to “ WOODLINE LAUVINCE ” Practice Location

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