MEDICARE: RUTH SARITA FERREIRA

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		FL

General Provider Information

NPI Number	:	1750929584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUTH SARITA FERREIRA

Provider Business Mailing Address
First Line	:	15270 SW 104TH ST APT 1-29
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33196-3208
Country	:	US
Telephone Number	:	786-468-6816
Fax Number	:

Provider Business Practice Location Address
First Line	:	15270 SW 104TH ST APT 1-29
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33196-3208
Country	:	US
Telephone Number	:	786-468-6816
Fax Number	:

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

Provider Enumeration Date	:	12/11/2019
Last Update Date	:	12/11/2019

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Directions to “ RUTH SARITA FERREIRA ” Practice Location

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