MEDICARE: MRS. JUDITH ARENCIBIA

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	103K00000X	Behavior Analyst

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	:	1538820709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JUDITH ARENCIBIA

Provider Business Mailing Address
First Line	:	7025 BERACASA WAY STE 207D
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3443
Country	:	US
Telephone Number	:	305-338-8034
Fax Number	:	561-910-1673

Provider Business Practice Location Address
First Line	:	7025 BERACASA WAY STE 207D
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3443
Country	:	US
Telephone Number	:	305-338-8034
Fax Number	:	561-910-1673

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

Provider Enumeration Date	:	01/10/2022
Last Update Date	:	03/24/2026

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Directions to “ MRS. JUDITH ARENCIBIA ” Practice Location

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