Marley Aguilar

Individual provider Active NPI Behavior Technician · Miami Lakes, FL

NPI 1023629524 · NPPES record last updated Aug 10, 2020

Key facts

NPI
1023629524
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
5901 NW 151St St Ste 214
Miami Lakes, FL 33014-2451
Phone
(786) 681-8494
NPI assigned
Aug 10, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

5901 NW 151St St Ste 214
Miami Lakes, FL 33014-2451

Mailing address

5901 NW 151St St Ste 214
Miami Lakes, FL 33014-2451
Phone (786) 681-8494

Other identifiers

IdentifierTypeStateIssuer
106S00000XMedicaidFL

Other providers in Miami Lakes, FL

All providers in Miami Lakes, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.