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NPI Code Detail

MEDICARE: MARIA F LIZAIRE RBT

MEDICARE:   MARIA F LIZAIRE  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
1106S00000XBehavior Technician27012FL

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 : 1487293130
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA F LIZAIRE RBT
Provider Business Mailing Address
First Line : 7151 CHESAPEAKE CIR
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33436-8570
Country : US
Telephone Number : 347-385-3444
Fax Number :
Provider Business Practice Location Address
First Line : 7151 CHESAPEAKE CIR
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33436-8570
Country : US
Telephone Number : 347-385-3444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2019
Last Update Date : 12/29/2019

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Directions to “ MARIA F LIZAIRE RBT” Practice Location

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