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NPI Code Detail

MEDICARE: PATRICIA PRESY

MEDICARE: PATRICIA PRESY
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
2103K00000XBehavior Analyst1-21-47794FL

Other Identifiers

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

General Provider Information

NPI Number : 1720541113
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA PRESY
Provider Business Mailing Address
First Line : 23515 VALDERAMA LN
Second Line :
City : SORRENTO
State : FL
Zip : 32776-6937
Country : US
Telephone Number : 516-695-9333
Fax Number :
Provider Business Practice Location Address
First Line : 2154 CENTRAL FLORIDA PKWY STE B2
Second Line :
City : ORLANDO
State : FL
Zip : 32837-8986
Country : US
Telephone Number : 407-674-7670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2019
Last Update Date : 02/22/2021

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Directions to “ PATRICIA PRESY ” Practice Location

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