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NPI Code Detail

MEDICARE: MR. CHRISTOPHER MICHAEL ROSADO BCBA-D

MEDICARE: MR. CHRISTOPHER MICHAEL ROSADO BCBA-D
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
1103K00000XBehavior Analyst1-16-21407

General Provider Information

NPI Number : 1487120218
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTOPHER MICHAEL ROSADO BCBA-D
Provider Business Mailing Address
First Line : 4620 N STATE ROAD 7 STE 300
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33319-5867
Country : US
Telephone Number : 305-338-8620
Fax Number :
Provider Business Practice Location Address
First Line : 20816 44TH AVE W STE 103
Second Line :
City : LYNNWOOD
State : WA
Zip : 98036-7744
Country : US
Telephone Number : 561-903-1955
Fax Number : 561-997-1246
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2018
Last Update Date : 08/22/2025

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