Healthcare Provider Details

I. General information

NPI: 1467365692
Provider Name (Legal Business Name): ADEN FAILDE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

657 SOUTH DR
MIAMI SPRINGS FL
33166
US

IV. Provider business mailing address

657 SOUTH DR
MIAMI SPRINGS FL
33166
US

V. Phone/Fax

Practice location:
  • Phone: 786-860-5161
  • Fax:
Mailing address:
  • Phone: 786-860-5161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberF430000043790
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: