Healthcare Provider Details

I. General information

NPI: 1801310776
Provider Name (Legal Business Name): ANGELY BADIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2017
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10501 SW 49TH ST
MIAMI FL
33165-6223
US

IV. Provider business mailing address

10501 SW 49TH ST
MIAMI FL
33165-6223
US

V. Phone/Fax

Practice location:
  • Phone: 786-752-8001
  • Fax:
Mailing address:
  • Phone: 786-752-8001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-26-2831229
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: