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NPI Code Detail

MEDICARE: ELIANY AL SAAVEDRA MONTEAGUDO

MEDICARE:   ELIANY AL SAAVEDRA MONTEAGUDO
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 Technician

General Provider Information

NPI Number : 1902694821
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIANY AL SAAVEDRA MONTEAGUDO
Provider Business Mailing Address
First Line : 6075 STRAWBERRY FIELDS WAY
Second Line :
City : LAKE WORTH
State : FL
Zip : 33463-6512
Country : US
Telephone Number : 561-722-2659
Fax Number :
Provider Business Practice Location Address
First Line : 6075 STRAWBERRY FIELDS WAY
Second Line :
City : LAKE WORTH
State : FL
Zip : 33463-6512
Country : US
Telephone Number : 561-722-2659
Fax Number : 561-722-2659
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2025
Last Update Date : 06/16/2025

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Directions to “ ELIANY AL SAAVEDRA MONTEAGUDO ” Practice Location

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