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NPI Code Detail

MEDICARE: AALIYAH BEADLE

MEDICARE: AALIYAH BEADLE
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 Technician106S00000XFL

General Provider Information

NPI Number : 1487583605
Entity Type Code : Individual
Provider Name (Legal Business Name) : AALIYAH BEADLE
Provider Business Mailing Address
First Line : 300 INTERNATIONAL PKWY STE 200
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-5028
Country : US
Telephone Number : 866-610-0580
Fax Number :
Provider Business Practice Location Address
First Line : 11476 S APOPKA VINELAND RD STE 118
Second Line :
City : ORLANDO
State : FL
Zip : 32836-7006
Country : US
Telephone Number : 407-955-4001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2026
Last Update Date : 05/14/2026

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Directions to “ AALIYAH BEADLE ” Practice Location

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