MEDICARE: PATRICIA CAUSO

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	103K00000X	Behavior Analyst	1-20-40689	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	:	1558840520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA CAUSO

Provider Business Mailing Address
First Line	:	11560 SW 99TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-2516
Country	:	US
Telephone Number	:	305-333-7274
Fax Number	:

Provider Business Practice Location Address
First Line	:	19001 SW 106TH AVE
Second Line	:	107/108
City	:	CUTLER BAY
State	:	FL
Zip	:	33157-7669
Country	:	US
Telephone Number	:	305-378-5775
Fax Number	:

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

Provider Enumeration Date	:	08/10/2018
Last Update Date	:	01/07/2026

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Directions to “ PATRICIA CAUSO ” Practice Location

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