Healthcare Provider Details

I. General information

NPI: 1093354151
Provider Name (Legal Business Name): ANAYLET CABO VALDES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2020
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5881 NW 151ST ST STE 111
MIAMI LAKES FL
33014-2455
US

IV. Provider business mailing address

2141 W 55TH ST
HIALEAH FL
33016-2060
US

V. Phone/Fax

Practice location:
  • Phone: 786-542-0133
  • Fax: 786-431-2573
Mailing address:
  • Phone: 786-312-2143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBCBA-1-26-90394
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: