MEDICARE: CARELIS ENRIQUEZ POSADA

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	BACB1-26-89373	FL

General Provider Information

NPI Number	:	1659132181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARELIS ENRIQUEZ POSADA

Provider Business Mailing Address
First Line	:	17055 SW 93RD ST APT 6-103
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33196-1188
Country	:	US
Telephone Number	:	786-641-4022
Fax Number	:

Provider Business Practice Location Address
First Line	:	7800 SW 57TH AVE STE 205
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-5542
Country	:	US
Telephone Number	:	305-854-2471
Fax Number	:

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

Provider Enumeration Date	:	01/22/2024
Last Update Date	:	06/09/2026

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