Healthcare Provider Details

I. General information

NPI: 1457019317
Provider Name (Legal Business Name): ARIADNA MORALES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2021
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8808 NW 181ST ST
MIAMI LAKES FL
33018-6505
US

IV. Provider business mailing address

8808 NW 181ST ST
MIAMI LAKES FL
33018-6505
US

V. Phone/Fax

Practice location:
  • Phone: 305-323-7108
  • Fax:
Mailing address:
  • Phone: 305-323-7108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-26-17278
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: