Healthcare Provider Details

I. General information

NPI: 1114698743
Provider Name (Legal Business Name): JULIKA CALDERON BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2021
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7923 NW 190TH TER
HIALEAH FL
33015-5222
US

IV. Provider business mailing address

7923 NW 190TH TER
HIALEAH FL
33015-5222
US

V. Phone/Fax

Practice location:
  • Phone: 786-553-9371
  • Fax:
Mailing address:
  • Phone: 786-553-9371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2828933
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: