Healthcare Provider Details

I. General information

NPI: 1891213278
Provider Name (Legal Business Name): ERIKA PATRICIA CEPERO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2017
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10300 SW 72ND ST STE 114
MIAMI FL
33173-3038
US

IV. Provider business mailing address

3345 SE 2ND CT
HOMESTEAD FL
33033-7476
US

V. Phone/Fax

Practice location:
  • Phone: 305-508-5580
  • Fax:
Mailing address:
  • Phone: 305-923-2078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-84900
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-18-51502
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: