MEDICARE: CARLOS E. CEDANO

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1568984755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS E. CEDANO

Provider Business Mailing Address
First Line	:	293 SPRING CIR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33410-6331
Country	:	US
Telephone Number	:	561-281-9838
Fax Number	:	800-766-3139

Provider Business Practice Location Address
First Line	:	293 SPRING CIR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33410-6331
Country	:	US
Telephone Number	:	561-281-9838
Fax Number	:

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

Provider Enumeration Date	:	07/10/2017
Last Update Date	:	06/16/2018

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Directions to “ CARLOS E. CEDANO ” Practice Location

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