Healthcare Provider Details

I. General information

NPI: 1528567534
Provider Name (Legal Business Name): ROSALIA GALAN GOICOCHEA BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2018
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14220 SW 55TH ST
MIAMI FL
33175-5986
US

IV. Provider business mailing address

14220 SW 55TH ST
MIAMI FL
33175-5986
US

V. Phone/Fax

Practice location:
  • Phone: 786-307-6370
  • Fax:
Mailing address:
  • Phone: 786-307-6370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-21-48477
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-19-10642
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: