MEDICARE: MARLEN ALFONSO

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

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	:	1912605569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARLEN ALFONSO

Provider Business Mailing Address
First Line	:	8834 NW 109TH TER
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-4550
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8834 NW 109TH TER
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-4550
Country	:	US
Telephone Number	:	786-262-5689
Fax Number	:

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

Provider Enumeration Date	:	02/22/2023
Last Update Date	:	02/22/2023

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Directions to “ MARLEN ALFONSO ” Practice Location

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