MEDICARE: GENNIFER LAFUENTE

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		FL

General Provider Information

NPI Number	:	1871445171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GENNIFER LAFUENTE

Provider Business Mailing Address
First Line	:	1280 SW 101ST TER
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33025-5028
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1280 SW 101ST TER # 1184
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33025-5028
Country	:	US
Telephone Number	:	954-348-4382
Fax Number	:

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

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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Directions to “ GENNIFER LAFUENTE ” Practice Location

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