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NPI Code Detail

MEDICARE: MARVIN LAGUERRE

MEDICARE: MARVIN LAGUERRE
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 : 1952119273
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARVIN LAGUERRE
Provider Business Mailing Address
First Line : 931 VILLAGE BLVD STE 905-358
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33409-1803
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1319 DOUGLASS AVE APT 202
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-2833
Country : US
Telephone Number : 561-268-1255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2024
Last Update Date : 12/19/2024

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Directions to “ MARVIN LAGUERRE ” Practice Location

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