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NPI Code Detail

MEDICARE: IDIANA CUETO PALLARES BCBA

MEDICARE:   IDIANA  CUETO PALLARES  BCBA
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
1106S00000XBehavior TechnicianRBT-21-189670FL
2103K00000XBehavior AnalystBCBA-1-25-86433FL

Other Identifiers

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

General Provider Information

NPI Number : 1255095949
Entity Type Code : Individual
Provider Name (Legal Business Name) : IDIANA CUETO PALLARES BCBA
Provider Business Mailing Address
First Line : 18160 NW 68TH AVE APT 106
Second Line :
City : HIALEAH
State : FL
Zip : 33015-7916
Country : US
Telephone Number : 786-868-7766
Fax Number :
Provider Business Practice Location Address
First Line : 18160 NW 68TH AVE APT 106
Second Line :
City : HIALEAH
State : FL
Zip : 33015-7916
Country : US
Telephone Number : 786-868-7766
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2021
Last Update Date : 12/16/2025

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Directions to “ IDIANA CUETO PALLARES BCBA” Practice Location

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