MEDICARE: ANNIELA CACERES

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-1873366	FL
2	103K00000X	Behavior Analyst	1-24-78551	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	:	1538837513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNIELA CACERES

Provider Business Mailing Address
First Line	:	6395 SW 136TH CT APT K101
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33183-5043
Country	:	US
Telephone Number	:	786-857-2170
Fax Number	:

Provider Business Practice Location Address
First Line	:	6395 SW 136TH CT APT K101
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33183-5043
Country	:	US
Telephone Number	:	178-685-7217
Fax Number	:

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

Provider Enumeration Date	:	09/02/2021
Last Update Date	:	01/08/2025

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Directions to “ ANNIELA CACERES ” Practice Location

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