MEDICARE: A & N ACADEMY LLC

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

General Provider Information

NPI Number	:	1902600802
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A & N ACADEMY LLC

Provider Business Mailing Address
First Line	:	1835 KINGSBURY CT
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744-4932
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1835 KINGSBURY CT
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744-4932
Country	:	US
Telephone Number	:	786-659-4953
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MILAGROS UZCATEGUI ZAPATA
Credential	:
Telephone Number	:	786-659-4953

Provider Enumeration Date	:	04/02/2025
Last Update Date	:	04/02/2025

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