Healthcare Provider Details

I. General information

NPI: 1073453031
Provider Name (Legal Business Name): BETSY CEPERO FALCON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7649 NW 180TH TER
HIALEAH FL
33015-6138
US

IV. Provider business mailing address

7649 NW 180TH TER
HIALEAH FL
33015-6138
US

V. Phone/Fax

Practice location:
  • Phone: 305-297-2924
  • Fax:
Mailing address:
  • Phone: 305-297-2924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: