MEDICARE: MARVENS MILHOMME

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	RBT-23-317257	FL

General Provider Information

NPI Number	:	1598534448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARVENS MILHOMME

Provider Business Mailing Address
First Line	:	3611 NW 41ST ST
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33309-4849
Country	:	US
Telephone Number	:	561-360-6098
Fax Number	:

Provider Business Practice Location Address
First Line	:	3611 NW 41ST ST
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33309-4849
Country	:	US
Telephone Number	:	561-360-6098
Fax Number	:

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

Provider Enumeration Date	:	12/20/2023
Last Update Date	:	03/16/2026

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Directions to “ MARVENS MILHOMME ” Practice Location

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