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NPI Code Detail

MEDICARE: JUNELLE MILFORT

MEDICARE: JUNELLE MILFORT
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1457215543
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUNELLE MILFORT
Provider Business Mailing Address
First Line : 125 E NASA BLVD
Second Line :
City : MELBOURNE
State : FL
Zip : 32901-1900
Country : US
Telephone Number : 321-345-4232
Fax Number :
Provider Business Practice Location Address
First Line : 2180 JULIAN AVE NE
Second Line :
City : PALM BAY
State : FL
Zip : 32905-4020
Country : US
Telephone Number : 321-345-0861
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2025
Last Update Date : 12/12/2025

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Directions to “ JUNELLE MILFORT ” Practice Location

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