MEDICARE: BRAYAN VALDES CALA

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	BCBA-1-26-90118	FL

General Provider Information

NPI Number	:	1669240677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRAYAN VALDES CALA

Provider Business Mailing Address
First Line	:	601 E DANIA BEACH BLVD APT 1428
Second Line	:
City	:	DANIA BEACH
State	:	FL
Zip	:	33004-3128
Country	:	US
Telephone Number	:	786-793-2343
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 E DANIA BEACH BLVD APT 1428
Second Line	:
City	:	DANIA BEACH
State	:	FL
Zip	:	33004-3128
Country	:	US
Telephone Number	:	786-655-9306
Fax Number	:

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

Provider Enumeration Date	:	12/19/2023
Last Update Date	:	05/21/2026

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