Healthcare Provider Details

I. General information

NPI: 1265978266
Provider Name (Legal Business Name): CRISTINA ANDRADE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2017
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1242 S PINE ISLAND RD APT 503
PLANTATION FL
33324-4571
US

IV. Provider business mailing address

8027 NW 27TH PL
SUNRISE FL
33322-2410
US

V. Phone/Fax

Practice location:
  • Phone: 954-599-2260
  • Fax:
Mailing address:
  • Phone: 954-599-2260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: