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Dov Simcha Rosen, RBT

Behavior Technician in Boca Raton, FL. Individual provider (NPI-1).

NPI number1316655830
StatusActive
Last updated in NPPESMar 8, 2023

Details

NPI
1316655830
Entity type
Individual (NPI-1)
Name
Dov Simcha Rosen
Credential
RBT
Sex
Male
Sole proprietor
No
Enumeration date
Nov 14, 2022
Certification date
Mar 8, 2023
Last updated
Mar 8, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician22-236282FLYes

Practice location

21160 95th Ave S
Boca Raton, FL 33428-3534

Phone 561-289-8916

Mailing address

7082 Valencia Drive
Boca Raton, FL 33433

Phone 561-289-8916

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Technician providers in Boca Raton, FL

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