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NPI Code Detail

MEDICARE: CLEOPATRA HENRI RBT

MEDICARE: CLEOPATRA HENRI 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 TechnicianRBT-21-153747FL
2106S00000XBehavior TechnicianRBT-21-153747CA

General Provider Information

NPI Number : 1922672609
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLEOPATRA HENRI RBT
Provider Business Mailing Address
First Line : 6902 W HILLSBOROUGH AVE
Second Line :
City : TAMPA
State : FL
Zip : 33634-4946
Country : US
Telephone Number : 916-753-5133
Fax Number :
Provider Business Practice Location Address
First Line : 11602 N 51ST ST
Second Line :
City : TAMPA
State : FL
Zip : 33617-2132
Country : US
Telephone Number : 813-541-7791
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2021
Last Update Date : 07/12/2021

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Directions to “ CLEOPATRA HENRI RBT” Practice Location

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