MEDICARE: CLAUDIA CEDENO NADAL

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	0-21-13025	FL
2	106S00000X	Behavior Technician
3	103K00000X	Behavior Analyst	0-25-82863	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	:	1568989747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA CEDENO NADAL

Provider Business Mailing Address
First Line	:	1510 N BLUEBIRD LN
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33035-1008
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6117 NW SWEETWOOD DR
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34987-5855
Country	:	US
Telephone Number	:	786-327-4273
Fax Number	:

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

Provider Enumeration Date	:	08/28/2017
Last Update Date	:	08/06/2025

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Directions to “ CLAUDIA CEDENO NADAL ” Practice Location

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