=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497862932
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | URANIA MARIA CALDERA M.S. CCC-SLP, BCBA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/23/2006
-----------------------------------------------------
Last Update Date | 05/27/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10920 SW 184TH ST
-----------------------------------------------------
City | CUTLER BAY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33157-6608
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-378-5775
-----------------------------------------------------
Fax | 305-378-5772
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 13262 SW 119TH TER
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33186
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-378-5775
-----------------------------------------------------
Fax | 305-378-5772
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | SA8179
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number | 1-14-17381
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------