MEDICARE: CLAUDIA LIMA ALVAREZ RBT-23-30893

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

General Provider Information

NPI Number	:	1790559367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA LIMA ALVAREZ RBT-23-30893

Provider Business Mailing Address
First Line	:	9704 WEEPING CHERRY CT
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33635-1087
Country	:	US
Telephone Number	:	813-347-6731
Fax Number	:

Provider Business Practice Location Address
First Line	:	9704 WEEPING CHERRY CT
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33635-1087
Country	:	US
Telephone Number	:	813-347-6731
Fax Number	:

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

Provider Enumeration Date	:	11/14/2023
Last Update Date	:	11/14/2023

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