MEDICARE: SPEECH AND LANGUAGE CONNECTION SERVICES, LLC

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

General Provider Information

NPI Number	:	1215649090
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPEECH AND LANGUAGE CONNECTION SERVICES, LLC

Provider Business Mailing Address
First Line	:	10550 NW 77TH CT STE 222-224
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-7084
Country	:	US
Telephone Number	:	305-218-5020
Fax Number	:

Provider Business Practice Location Address
First Line	:	10550 NW 77TH CT STE 222-224
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-7084
Country	:	US
Telephone Number	:	305-218-5020
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ELSA MARGARITA AGUERO
Credential	:
Telephone Number	:	305-218-5020

Provider Enumeration Date	:	12/23/2022
Last Update Date	:	01/20/2026

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