MEDICARE: MS. QUINN BEYNART

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	103K00000X	Behavior Analyst	1-21-52744	FL
2	106S00000X	Behavior Technician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881120384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. QUINN BEYNART

Provider Business Mailing Address
First Line	:	4620 N STATE ROAD 7
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33319-5884
Country	:	US
Telephone Number	:	561-323-6593
Fax Number	:

Provider Business Practice Location Address
First Line	:	2895 HUELAND POND BLVD STE 205
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33543-7667
Country	:	US
Telephone Number	:	727-576-7600
Fax Number	:

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

Provider Enumeration Date	:	05/04/2017
Last Update Date	:	02/04/2026

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Directions to “ MS. QUINN BEYNART ” Practice Location

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