MEDICARE: CESAR MIGUEL FUNDORA 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
1	106E00000X	Assistant Behavior Analyst	0-24-15159	FL
2	103K00000X	Behavior Analyst	1-25-82853	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	:	1407519424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CESAR MIGUEL FUNDORA BCBA

Provider Business Mailing Address
First Line	:	11612 SW 13TH LN
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33025-4824
Country	:	US
Telephone Number	:	786-402-9619
Fax Number	:

Provider Business Practice Location Address
First Line	:	4855 W HILLSBORO BLVD STE B12
Second Line	:
City	:	COCONUT CREEK
State	:	FL
Zip	:	33073-4365
Country	:	US
Telephone Number	:	754-399-8507
Fax Number	:

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

Provider Enumeration Date	:	10/17/2021
Last Update Date	:	07/22/2025

Similar Medicare Providers

1417905621 — MRS. LUCY MARINA TROVATO NP
Practice Location Address:

4855 W HILLSBORO BLVD STE B13
COCONUT CREEK, FL
33073-4365

Practice Phone: 954-420-9182
Practice Fax: 954-420-9184

1952636094 — ZOYLA ALMEIDA MD PA
Practice Location Address:

4855 W HILLSBORO BLVD , SUITE B-13
COCONUT CREEK, FL
33073-4365

Practice Phone: 954-420-9182
Practice Fax: 954-364-8527

1952824864 — MONICA PIERRE LOUIS
Practice Location Address:

4855 W HILLSBORO BLVD STE B12
COCONUT CREEK, FL
33073-4365

Practice Phone: 754-399-8507
Practice Fax:

1235730177 — EMILY FIGUEROA VEGA PA-C
Practice Location Address:

4855 W HILLSBORO BLVD STE B13
COCONUT CREEK, FL
33073-4365

Practice Phone: 954-420-9182
Practice Fax:

1275262412 — KYLAH TANEE CRUICKSHANK
Practice Location Address:

4855 W HILLSBORO BLVD STE B12
COCONUT CREEK, FL
33073-4365

Practice Phone: 754-399-8507
Practice Fax:

1003535907 — CREATIVE MINDS ABA SERVICES INC
Practice Location Address:

4855 W HILLSBORO BLVD STE B12
COCONUT CREEK, FL
33073-4365

Practice Phone: 754-399-8507
Practice Fax:

Directions to “ CESAR MIGUEL FUNDORA BCBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.