MEDICARE: GUILLERMO ABELARDO AMARO AGUILA

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1891550521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GUILLERMO ABELARDO AMARO AGUILA

Provider Business Mailing Address
First Line	:	445 NW 4TH ST APT 1313
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33128-1716
Country	:	US
Telephone Number	:	305-589-2634
Fax Number	:

Provider Business Practice Location Address
First Line	:	445 NW 4TH ST APT 1313
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33128-1716
Country	:	US
Telephone Number	:	305-589-2634
Fax Number	:

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

Provider Enumeration Date	:	02/21/2024
Last Update Date	:	03/26/2024

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Directions to “ GUILLERMO ABELARDO AMARO AGUILA ” Practice Location

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