Lidibeth Bravo Aguilera

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

22-231922 Issued in FL

Practice address

7875 NW 12TH St Ste 110
Doral, FL 33126-1815

Phone

(786) 835-8836

NPI assigned

Sep 16, 2022

Last updated

Sep 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1093437931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11409 SW 45TH CT UNIT 110",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330257897",
            "telephone_number": "786-835-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7875 NW 12TH ST STE 110",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261815",
            "telephone_number": "786-835-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO AGUILERA",
        "first_name": "LIDIBETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "22-231922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Bowers Jr., CRNA
• Anangelica Bradley, NP
• Pedro Brasac, M.D.
• Gail P. Brasfield, RN
• Barbara Jean Brathwaite, RN
• Bravo Wellcare Network, LLC
• Anet Bravo, RT
• Eunice V Bravo
• Marina Bravo, LCSW
• Xochilt Bravo

• Behavior Technician in Doral, FL
• Providers in Doral, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.