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NPI Code Detail

MEDICARE: AIMEE ELIZABETH VELEZ RBT

MEDICARE: AIMEE ELIZABETH VELEZ 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
1106S00000XBehavior TechnicianRBT-19-75114FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1E1795794OTHERNREMT
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689225716
Entity Type Code : Individual
Provider Name (Legal Business Name) : AIMEE ELIZABETH VELEZ RBT
Provider Business Mailing Address
First Line : 6120 DEL MAR DR
Second Line :
City : PORT ORANGE
State : FL
Zip : 32127-9504
Country : US
Telephone Number : 386-341-7162
Fax Number :
Provider Business Practice Location Address
First Line : 454 FORT FLORIDA RD
Second Line :
City : DEBARY
State : FL
Zip : 32713-9714
Country : US
Telephone Number : 386-562-0170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2019
Last Update Date : 09/20/2019

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