MEDICARE: ARIADNA MARIA COSSIO-WONG BCBA,MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-19-90641	FL
2	103K00000X	Behavior Analyst	1-25-81310	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003572710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIADNA MARIA COSSIO-WONG BCBA,MA

Provider Business Mailing Address
First Line	:	10560 SUMMERTIME LN
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-3065
Country	:	US
Telephone Number	:	561-701-0950
Fax Number	:

Provider Business Practice Location Address
First Line	:	10560 SUMMERTIME LN
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-3065
Country	:	US
Telephone Number	:	561-701-0950
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2021
Last Update Date	:	06/04/2025

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