MEDICARE: LEYDIS LAURA VAZQUEZ SALGADO RBT

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	RBT-24-322894	FL

General Provider Information

NPI Number	:	1437915261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEYDIS LAURA VAZQUEZ SALGADO RBT

Provider Business Mailing Address
First Line	:	5692 ORANGE RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33413-1856
Country	:	US
Telephone Number	:	561-225-9984
Fax Number	:

Provider Business Practice Location Address
First Line	:	5692 ORANGE RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33413-1856
Country	:	US
Telephone Number	:	561-225-9984
Fax Number	:

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

Provider Enumeration Date	:	02/28/2024
Last Update Date	:	02/28/2024

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Directions to “ LEYDIS LAURA VAZQUEZ SALGADO RBT” Practice Location

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