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NPI Code Detail

MEDICARE: EVIE ALTMAN

MEDICARE: EVIE ALTMAN
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
1103K00000XBehavior AnalystBACB1-16-22306
2103K00000XBehavior AnalystN243200906030FL

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 : 1598145153
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVIE ALTMAN
Provider Business Mailing Address
First Line : 1500 S DOUGLAS RD
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-4108
Country : US
Telephone Number : 516-972-9085
Fax Number :
Provider Business Practice Location Address
First Line : 644 FERGUSON DR STE 200
Second Line :
City : ORLANDO
State : FL
Zip : 32805-1023
Country : US
Telephone Number : 516-972-9085
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2015
Last Update Date : 04/24/2023

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Directions to “ EVIE ALTMAN ” Practice Location

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