Healthcare Provider Details

I. General information

NPI: 1902583313
Provider Name (Legal Business Name): CLAUDIA PRADO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2023
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1918 SW 13TH LN
CAPE CORAL FL
33991-2315
US

IV. Provider business mailing address

1918 SW 13TH LN
CAPE CORAL FL
33991-2315
US

V. Phone/Fax

Practice location:
  • Phone: 786-283-2509
  • Fax:
Mailing address:
  • Phone: 786-283-2509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: