Healthcare Provider Details

I. General information

NPI: 1871476846
Provider Name (Legal Business Name): BRIANNA CUELLAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15540 SW 302ND ST
HOMESTEAD FL
33033-3526
US

IV. Provider business mailing address

15540 SW 302ND ST
HOMESTEAD FL
33033-3526
US

V. Phone/Fax

Practice location:
  • Phone: 786-475-0115
  • Fax:
Mailing address:
  • Phone: 786-475-0115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number25-457926
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: