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NPI Code Detail

MEDICARE: LUCIANNA RIBEIRO SMITH

MEDICARE:   LUCIANNA RIBEIRO SMITH
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 TechnicianRBT-20-127718FL

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 : 1801594262
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCIANNA RIBEIRO SMITH
Provider Business Mailing Address
First Line : 771 SIESTA KEY TRL APT 1027
Second Line :
City : DEERFIELD BCH
State : FL
Zip : 33441-7794
Country : US
Telephone Number : 321-900-2963
Fax Number :
Provider Business Practice Location Address
First Line : 771 SIESTA KEY TRL APT 1027
Second Line :
City : DEERFIELD BCH
State : FL
Zip : 33441-7794
Country : US
Telephone Number : 321-900-2963
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2023
Last Update Date : 02/15/2023

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Directions to “ LUCIANNA RIBEIRO SMITH ” Practice Location

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