MEDICARE: FABIOLA SAINTELUS

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528580503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FABIOLA SAINTELUS

Provider Business Mailing Address
First Line	:	3613 POMEROL DR
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-9399
Country	:	US
Telephone Number	:	561-771-9561
Fax Number	:

Provider Business Practice Location Address
First Line	:	1851 RENAISSANCE COMMONS BLVD APT 1511
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-8741
Country	:	US
Telephone Number	:	347-856-2922
Fax Number	:

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

Provider Enumeration Date	:	07/12/2017
Last Update Date	:	06/16/2018

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Directions to “ FABIOLA SAINTELUS ” Practice Location

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