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NPI Code Detail

MEDICARE: NEKELE ALEXIS

MEDICARE:   NEKELE  ALEXIS
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-20-115481FL

General Provider Information

NPI Number : 1700412335
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEKELE ALEXIS
Provider Business Mailing Address
First Line : 7151 CHESAPEAKE CIR
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33436-8570
Country : US
Telephone Number : 561-634-5339
Fax Number :
Provider Business Practice Location Address
First Line : 7151 CHESAPEAKE CIR
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33436-8570
Country : US
Telephone Number : 561-634-5339
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2020
Last Update Date : 03/16/2020

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Directions to “ NEKELE ALEXIS ” Practice Location

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