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NPI Code Detail

MEDICARE: MRS. HEATHER ROSE BELLAND

MEDICARE: MRS. HEATHER ROSE BELLAND
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
1106S00000XBehavior Technician
2222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1649606245
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEATHER ROSE BELLAND
Provider Business Mailing Address
First Line : 350 FAIRWAY DR STE 101
Second Line :
City : DEERFIELD BCH
State : FL
Zip : 33441-1834
Country : US
Telephone Number : 877-418-2978
Fax Number :
Provider Business Practice Location Address
First Line : 350 FAIRWAY DR STE 101
Second Line :
City : DEERFIELD BCH
State : FL
Zip : 33441-1834
Country : US
Telephone Number : 877-418-2978
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2013
Last Update Date : 02/06/2022

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Directions to “ MRS. HEATHER ROSE BELLAND ” Practice Location

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