Healthcare Provider Details

I. General information

NPI: 1801402698
Provider Name (Legal Business Name): ARACELY MACHADO MORALES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2020
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 N 24TH AVE APT 4108
HOLLYWOOD FL
33020-1457
US

IV. Provider business mailing address

2900 N 24TH AVE APT 4108
HOLLYWOOD FL
33020-1457
US

V. Phone/Fax

Practice location:
  • Phone: 786-720-4414
  • Fax:
Mailing address:
  • Phone: 786-720-4414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT20124108
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: