Analeydis Abascal Ceron
Individual provider Active NPI Behavior Technician · Miami, FL
NPI 1104449495 · NPPES record last updated May 21, 2020
Key facts
- NPI
- 1104449495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-20-117613 (FL)
- Practice address
- 120 NW 193Rd St
Miami, FL 33169-3322 - Phone
- (305) 733-7575
- NPI assigned
- May 21, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-117613 | FL | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-117613 | FL | Yes |
Addresses
Primary practice location
120 NW 193Rd St
Miami, FL 33169-3322
Mailing address
120 NW 193Rd St
Miami, FL 33169-3322
Phone (305) 733-7575
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.