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NPI Code Detail

MEDICARE: ANDREINA CASANOVA BCBA

MEDICARE: ANDREINA CASANOVA BCBA
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
1103K00000XBehavior Analyst

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 : 1760786206
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREINA CASANOVA BCBA
Provider Business Mailing Address
First Line : 7108 S KANNER HWY
Second Line :
City : STUART
State : FL
Zip : 34997-7462
Country : US
Telephone Number : 855-832-6727
Fax Number : 772-675-9100
Provider Business Practice Location Address
First Line : 5420 NW 33RD AVE #6
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33309-6387
Country : US
Telephone Number : 855-832-6727
Fax Number : 772-675-9100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2010
Last Update Date : 12/30/2025

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Directions to “ ANDREINA CASANOVA BCBA” Practice Location

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