MEDICARE: HELEN AGUILAR DAVILA

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	RBT-23-299018	FL

General Provider Information

NPI Number	:	1912787235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN AGUILAR DAVILA

Provider Business Mailing Address
First Line	:	4604 SW 164TH PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-5268
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4604 SW 164TH PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-5268
Country	:	US
Telephone Number	:	305-487-2117
Fax Number	:

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

Provider Enumeration Date	:	10/03/2023
Last Update Date	:	10/03/2023

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Directions to “ HELEN AGUILAR DAVILA ” Practice Location

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