Provider Demographics
NPI:1902694821
Name:SAAVEDRA MONTEAGUDO, ELIANY AL
Entity type:Individual
Prefix:
First Name:ELIANY
Middle Name:AL
Last Name:SAAVEDRA MONTEAGUDO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6075 STRAWBERRY FIELDS WAY
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-6512
Mailing Address - Country:US
Mailing Address - Phone:561-722-2659
Mailing Address - Fax:
Practice Address - Street 1:6075 STRAWBERRY FIELDS WAY
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33463-6512
Practice Address - Country:US
Practice Address - Phone:561-722-2659
Practice Address - Fax:561-722-2659
Is Sole Proprietor?:No
Enumeration Date:2025-04-29
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician