MEDICARE: NECHAMA R SALFER

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	222Q00000X	Developmental Therapist	W182856	FL
2	103K00000X	Behavior Analyst	1-19-34699

General Provider Information

NPI Number	:	1649688201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NECHAMA R SALFER

Provider Business Mailing Address
First Line	:	2220 NE 203RD TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33180-1310
Country	:	US
Telephone Number	:	305-705-2211
Fax Number	:

Provider Business Practice Location Address
First Line	:	2665 NE 205TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33180-1114
Country	:	US
Telephone Number	:	216-233-0064
Fax Number	:

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

Provider Enumeration Date	:	07/28/2014
Last Update Date	:	05/27/2021

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