MEDICARE: MR. ORLANDO ADIEL CABALLERO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-25-78749	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134607039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ORLANDO ADIEL CABALLERO

Provider Business Mailing Address
First Line	:	2701 NE 21ST ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33305-3614
Country	:	US
Telephone Number	:	548-309-5089
Fax Number	:

Provider Business Practice Location Address
First Line	:	2701 NE 21ST ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33305-3614
Country	:	US
Telephone Number	:	954-830-9508
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2018
Last Update Date	:	05/14/2025

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