MEDICARE: MARIA RICARDO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	106E00000X	Assistant Behavior Analyst
2	251E00000X	Home Health Agency
3	106S00000X	Behavior Technician

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	:	1700245909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA RICARDO

Provider Business Mailing Address
First Line	:	20300 SW 106 CT
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33189
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20300 SW 106TH CT
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33189-1330
Country	:	US
Telephone Number	:	305-554-4111
Fax Number	:

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

Provider Enumeration Date	:	02/16/2016
Last Update Date	:	03/21/2022

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Directions to “ MARIA RICARDO ” Practice Location

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