Healthcare Provider Details

I. General information

NPI: 1831758051
Provider Name (Legal Business Name): LUCILENE CATALDO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2019
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9010 SW 137TH AVE STE 213
MIAMI FL
33186-1438
US

IV. Provider business mailing address

24512 SW 110TH AVE
HOMESTEAD FL
33032-4400
US

V. Phone/Fax

Practice location:
  • Phone: 305-200-3912
  • Fax: 305-603-7915
Mailing address:
  • Phone: 786-260-9764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-20-10887
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-18-65923
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: