MEDICARE: MISS ROXANA LAURA NAPOLES

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
2	106S00000X	Behavior Technician	BACB972417	FL

General Provider Information

NPI Number	:	1447069414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ROXANA LAURA NAPOLES

Provider Business Mailing Address
First Line	:	5835 W 20TH AVE APT 102
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-7559
Country	:	US
Telephone Number	:	305-399-8521
Fax Number	:

Provider Business Practice Location Address
First Line	:	717 PONCE DE LEON BLVD STE 307
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-2070
Country	:	US
Telephone Number	:	305-952-3247
Fax Number	:

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

Provider Enumeration Date	:	01/04/2025
Last Update Date	:	01/04/2025

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Directions to “ MISS ROXANA LAURA NAPOLES ” Practice Location

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