MEDICARE: SALGADO BEHAVIOR SERVICES INC

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

General Provider Information

NPI Number	:	1730897265
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALGADO BEHAVIOR SERVICES INC

Provider Business Mailing Address
First Line	:	11645 NW 91ST PL
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-4159
Country	:	US
Telephone Number	:	786-597-6625
Fax Number	:

Provider Business Practice Location Address
First Line	:	11645 NW 91ST PL
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-4159
Country	:	US
Telephone Number	:	786-597-6625
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARISOL SALGADO GUTIERREZ
Credential	:
Telephone Number	:	786-597-6625

Provider Enumeration Date	:	11/14/2022
Last Update Date	:	11/14/2022

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