Healthcare Provider Details

I. General information

NPI: 1801564786
Provider Name (Legal Business Name): CALVIN LABRADA MS, BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2021
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1495 FOREST HILL BLVD STE C3
WEST PALM BEACH FL
33406-6073
US

IV. Provider business mailing address

1861 LIN MAR DR
WEST PALM BEACH FL
33406-5256
US

V. Phone/Fax

Practice location:
  • Phone: 156-156-8936
  • Fax:
Mailing address:
  • Phone: 561-779-5571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberBACB661625
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: