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NPI Code Detail

MEDICARE: SAIDA PACOVSKY

MEDICARE:   SAIDA  PACOVSKY
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

General Provider Information

NPI Number : 1760335798
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAIDA PACOVSKY
Provider Business Mailing Address
First Line : 3311 NE 59TH ST
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-2834
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3311 NE 59TH ST
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-2834
Country : US
Telephone Number : 954-329-7451
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2026
Last Update Date : 02/18/2026

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Directions to “ SAIDA PACOVSKY ” Practice Location

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