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NPI Code Detail

MEDICARE: MICHELA BEAULIER RBT

MEDICARE: MICHELA BEAULIER 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-24-393853FL

General Provider Information

NPI Number : 1982429635
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELA BEAULIER RBT
Provider Business Mailing Address
First Line : 3375 34TH ST N STE 206
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33713-2400
Country : US
Telephone Number : 727-643-0011
Fax Number : 727-231-9655
Provider Business Practice Location Address
First Line : 3375 34TH ST N STE 206
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33713-2400
Country : US
Telephone Number : 727-643-0011
Fax Number : 727-231-9655
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2024
Last Update Date : 11/18/2024

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Directions to “ MICHELA BEAULIER RBT” Practice Location

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