MEDICARE: MS. EMILY DAHIANA ACEVEDO MARTINEZ

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
1	106S00000X	Behavior Technician	RBT-26-523748	FL

General Provider Information

NPI Number	:	1750224838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EMILY DAHIANA ACEVEDO MARTINEZ

Provider Business Mailing Address
First Line	:	10751 ROYAL PALM BLVD APT 19
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-6899
Country	:	US
Telephone Number	:	914-309-6672
Fax Number	:

Provider Business Practice Location Address
First Line	:	10751 ROYAL PALM BLVD APT 19
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-6899
Country	:	US
Telephone Number	:	914-309-6672
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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