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NPI Code Detail

MEDICARE: RENE E VENTURA

MEDICARE:   RENE E VENTURA
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 Analyst20298FL
2101YM0800XMental Health Counselor20298FL
3106S00000XBehavior TechnicianRBT-18-48748FL
4101Y00000XCounselorMH20298FL

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 : 1609223569
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENE E VENTURA
Provider Business Mailing Address
First Line : 5344 SW 165TH CT
Second Line :
City : MIAMI
State : FL
Zip : 33185-5270
Country : US
Telephone Number : 786-328-1649
Fax Number :
Provider Business Practice Location Address
First Line : 5344 SW 165TH CT
Second Line :
City : MIAMI
State : FL
Zip : 33185-5270
Country : US
Telephone Number : 786-328-1649
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2016
Last Update Date : 03/16/2022

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Directions to “ RENE E VENTURA ” Practice Location

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