MEDICARE: ANGELICA PARDO

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		FL

General Provider Information

NPI Number	:	1912861584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELICA PARDO

Provider Business Mailing Address
First Line	:	815 HILL DR APT A
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-4003
Country	:	US
Telephone Number	:	561-685-9297
Fax Number	:

Provider Business Practice Location Address
First Line	:	931 VILLAGE BLVD
Second Line	:	SUITE 905-358
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-1803
Country	:	US
Telephone Number	:	855-832-6727
Fax Number	:

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

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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Directions to “ ANGELICA PARDO ” Practice Location

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