MEDICARE: MS. MADAY CARIDAD MARRERO BCBA

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	106E00000X	Assistant Behavior Analyst
2	103K00000X	Behavior Analyst	1-22-60109	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	:	1588104434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MADAY CARIDAD MARRERO BCBA

Provider Business Mailing Address
First Line	:	303 NE 3RD AVE STE 6
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33909-2538
Country	:	US
Telephone Number	:	305-316-1834
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 NE 3RD AVE STE 6
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33909-2538
Country	:	US
Telephone Number	:	239-257-1897
Fax Number	:

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

Provider Enumeration Date	:	02/26/2017
Last Update Date	:	08/25/2022

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