Healthcare Provider Details

I. General information

NPI: 1801651229
Provider Name (Legal Business Name): RACHEL CUETO FERNANDEZ BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2024
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2319 W 74TH ST APT 209
HIALEAH FL
33016-6832
US

IV. Provider business mailing address

2319 W 74TH ST APT 209
HIALEAH FL
33016-6832
US

V. Phone/Fax

Practice location:
  • Phone: 305-301-6395
  • Fax:
Mailing address:
  • Phone: 305-301-6395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-24-320668
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBCBA-1-25-86318
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: