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NPI Code Detail

MEDICARE: MAIDEL LEYVA ENRIQUEZ RBT

MEDICARE: MAIDEL LEYVA ENRIQUEZ RBT
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 TechnicianBACB1151605FL

General Provider Information

NPI Number : 1902799646
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAIDEL LEYVA ENRIQUEZ RBT
Provider Business Mailing Address
First Line : 2620 72ND AVE NE
Second Line :
City : NAPLES
State : FL
Zip : 34120-2742
Country : US
Telephone Number : 239-213-8324
Fax Number :
Provider Business Practice Location Address
First Line : 2620 72ND AVE NE
Second Line :
City : NAPLES
State : FL
Zip : 34120-2742
Country : US
Telephone Number : 239-213-8324
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2025
Last Update Date : 06/02/2025

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Directions to “ MAIDEL LEYVA ENRIQUEZ RBT” Practice Location

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