MEDICARE: MRS. URANIA MARIA CALDERA M.S. CCC-SLP, 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	235Z00000X	Speech-Language Pathologist	SA8179	FL
2	103K00000X	Behavior Analyst	1-14-17381	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	:	1497862932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. URANIA MARIA CALDERA M.S. CCC-SLP, BCBA

Provider Business Mailing Address
First Line	:	13262 SW 119TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186
Country	:	US
Telephone Number	:	305-378-5775
Fax Number	:	305-378-5772

Provider Business Practice Location Address
First Line	:	10920 SW 184TH ST
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33157-6608
Country	:	US
Telephone Number	:	305-378-5775
Fax Number	:	305-378-5772

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

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	05/27/2016

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