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NPI Code Detail

MEDICARE: SAMANTHA FELS

MEDICARE:   SAMANTHA  FELS
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 Analyst1-26-88123FL

General Provider Information

NPI Number : 1659193621
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA FELS
Provider Business Mailing Address
First Line : 9217 CARLYLE AVE FL 33154
Second Line :
City : SURFSIDE
State : FL
Zip : 33154-3029
Country : US
Telephone Number : 305-773-1097
Fax Number :
Provider Business Practice Location Address
First Line : 1155 93RD ST
Second Line :
City : BAY HARBOR ISLANDS
State : FL
Zip : 33154-3907
Country : US
Telephone Number : 305-773-1097
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2024
Last Update Date : 04/15/2026

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Directions to “ SAMANTHA FELS ” Practice Location

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