MEDICARE: SHEILA ARIAS

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	106E00000X	Assistant Behavior Analyst		FL

General Provider Information

NPI Number	:	1962912311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA ARIAS

Provider Business Mailing Address
First Line	:	1891 SW 30TH TER
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-3853
Country	:	US
Telephone Number	:	954-225-9165
Fax Number	:

Provider Business Practice Location Address
First Line	:	1891 SW 30TH TER
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-3853
Country	:	US
Telephone Number	:	954-225-9165
Fax Number	:

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

Provider Enumeration Date	:	10/11/2017
Last Update Date	:	10/11/2017

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Directions to “ SHEILA ARIAS ” Practice Location

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