Healthcare Provider Details

I. General information

NPI: 1023912151
Provider Name (Legal Business Name): LOUDWIGE CHERY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 NE 122ND ST
NORTH MIAMI FL
33161-5346
US

IV. Provider business mailing address

162 NE 122ND ST
NORTH MIAMI FL
33161-5346
US

V. Phone/Fax

Practice location:
  • Phone: 786-263-1876
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-2827851
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: