MEDICARE: ANDRES SOSA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103K00000X	Behavior Analyst
2	106E00000X	Assistant Behavior Analyst
3	106S00000X	Behavior Technician

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	:	1326712605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDRES SOSA

Provider Business Mailing Address
First Line	:	1695 NW 110TH AVE
Second Line	:
City	:	DORAL
State	:	FL
Zip	:	33172-1926
Country	:	US
Telephone Number	:	786-536-4807
Fax Number	:	954-577-7780

Provider Business Practice Location Address
First Line	:	8001 SW 36TH ST STE 9
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33328-1915
Country	:	US
Telephone Number	:	954-577-7790
Fax Number	:	954-577-7780

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

Provider Enumeration Date	:	08/02/2021
Last Update Date	:	03/19/2026

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Directions to “ ANDRES SOSA ” Practice Location

Language	Start Address	Practice Location

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