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NPI Code Detail

MEDICARE: MARBELYS ANAYA

MEDICARE:   MARBELYS  ANAYA
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 : 1912425828
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARBELYS ANAYA
Provider Business Mailing Address
First Line : 3311 28TH ST SW
Second Line :
City : LEHIGH ACRES
State : FL
Zip : 33976-3954
Country : US
Telephone Number : 239-295-1404
Fax Number :
Provider Business Practice Location Address
First Line : 3351 MARINATOWN LN STE 200
Second Line :
City : NORTH FORT MYERS
State : FL
Zip : 33903-7000
Country : US
Telephone Number : 239-257-1088
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2017
Last Update Date : 12/19/2024

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Directions to “ MARBELYS ANAYA ” Practice Location

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