MEDICARE: MR. RICARDO JORGE LOZADA GIL 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	103K00000X	Behavior Analyst	1-25-86642	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	:	1649715665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICARDO JORGE LOZADA GIL BCBA

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	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2145 METROCENTER BLVD STE 350
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-7642
Country	:	US
Telephone Number	:	561-609-0770
Fax Number	:

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

Provider Enumeration Date	:	12/29/2016
Last Update Date	:	03/04/2026

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