MEDICARE: CLAUDIA PEREZ FELIPE

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	:	1801658737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA PEREZ FELIPE

Provider Business Mailing Address
First Line	:	1517 NE 5TH TER APT 6
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-1163
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1517 NE 5TH TER APT 6
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-1163
Country	:	US
Telephone Number	:	786-702-1717
Fax Number	:

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

Provider Enumeration Date	:	01/25/2024
Last Update Date	:	01/25/2024

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Directions to “ CLAUDIA PEREZ FELIPE ” Practice Location

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