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NPI Code Detail

MEDICARE: LENAE DENEIL FOULKES

MEDICARE: LENAE DENEIL FOULKES
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
1103TB0200XCognitive & Behavioral Psychologist
2106S00000XBehavior Technician
3106S00000XBehavior TechnicianTX

General Provider Information

NPI Number : 1932532314
Entity Type Code : Individual
Provider Name (Legal Business Name) : LENAE DENEIL FOULKES
Provider Business Mailing Address
First Line : 500 FAIRWAY DR STE 102
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-1817
Country : US
Telephone Number : 877-418-2978
Fax Number :
Provider Business Practice Location Address
First Line : 700 MILAM ST STE 1300
Second Line :
City : HOUSTON
State : TX
Zip : 77002-2736
Country : US
Telephone Number : 877-418-2978
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2013
Last Update Date : 08/21/2024

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Directions to “ LENAE DENEIL FOULKES ” Practice Location

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