MEDICARE: ARELIS SILVIA GONZALEZ COYRA RBT

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	1-23-66679	FL

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	:	1629692959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARELIS SILVIA GONZALEZ COYRA RBT

Provider Business Mailing Address
First Line	:	160 NE TWYLITE TER
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34983-1247
Country	:	US
Telephone Number	:	786-357-8461
Fax Number	:

Provider Business Practice Location Address
First Line	:	7711 N MILITARY TRL STE 212
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33410-6506
Country	:	US
Telephone Number	:	786-357-8461
Fax Number	:

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

Provider Enumeration Date	:	06/02/2020
Last Update Date	:	03/11/2026

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