MEDICARE: YUDY AGUILA CUDEIRO

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	171W00000X	Contractor
2	103K00000X	Behavior Analyst
3	106E00000X	Assistant Behavior Analyst

General Provider Information

NPI Number	:	1316494685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUDY AGUILA CUDEIRO

Provider Business Mailing Address
First Line	:	14335 SW 120TH ST
Second Line	:	201
City	:	MIAMI
State	:	FL
Zip	:	33186-7294
Country	:	US
Telephone Number	:	305-967-8074
Fax Number	:	305-967-8302

Provider Business Practice Location Address
First Line	:	14335 SW 120TH ST
Second Line	:	201
City	:	MIAMI
State	:	FL
Zip	:	33186-7294
Country	:	US
Telephone Number	:	305-967-8074
Fax Number	:	305-967-8302

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

Provider Enumeration Date	:	09/05/2016
Last Update Date	:	01/09/2017

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Directions to “ YUDY AGUILA CUDEIRO ” Practice Location

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