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NPI Code Detail

MEDICARE: ELIANA CEGLIO KENT

MEDICARE:   ELIANA CEGLIO KENT
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 Technician1-08-4700FL

General Provider Information

NPI Number : 1720904907
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIANA CEGLIO KENT
Provider Business Mailing Address
First Line : 434 SW NAMOIT PL
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34953-5991
Country : US
Telephone Number : 561-386-4616
Fax Number :
Provider Business Practice Location Address
First Line : 10272 S US HWY 1
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34952
Country : US
Telephone Number : 772-872-6940
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2026
Last Update Date : 06/24/2026

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Directions to “ ELIANA CEGLIO KENT ” Practice Location

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