MEDICARE: JULIETA RUIZ BCABA

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	02112190	FL

General Provider Information

NPI Number	:	1932074119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIETA RUIZ BCABA

Provider Business Mailing Address
First Line	:	11300 NW 87TH CT STE 149
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-4520
Country	:	US
Telephone Number	:	786-518-3452
Fax Number	:	786-518-3453

Provider Business Practice Location Address
First Line	:	11300 NW 87TH CT STE 149
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-4520
Country	:	US
Telephone Number	:	786-518-3452
Fax Number	:	786-518-3453

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

Provider Enumeration Date	:	10/08/2025
Last Update Date	:	10/08/2025

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Directions to “ JULIETA RUIZ BCABA” Practice Location

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