MEDICARE: ELLIOTT ROBERTO BA

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	:	1932558145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLIOTT ROBERTO BA

Provider Business Mailing Address
First Line	:	6161 SW 17TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-2126
Country	:	US
Telephone Number	:	305-300-6096
Fax Number	:

Provider Business Practice Location Address
First Line	:	6161 SW 17TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-2126
Country	:	US
Telephone Number	:	305-300-6096
Fax Number	:

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

Provider Enumeration Date	:	06/08/2016
Last Update Date	:	06/08/2016

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1659424158 — DR. CARMEN LUISA MOLINA ACUPUNCTURE PHYSIAN
Practice Location Address:

716 SW 96TH CT , SAME
MIAMI, FL
33174-2126

Practice Phone: 305-228-4487
Practice Fax:

1184933111 — MR. HERMINIO GABRIEL LORIE BCBA
Practice Location Address:

6935 SW 111TH CT
MIAMI, FL
33173-2126

Practice Phone: 305-904-2766
Practice Fax:

1184069718 — CHRISTINA RODRIGUEZ
Practice Location Address:

3108 SW 25TH ST
MIAMI, FL
33133-2126

Practice Phone: 305-753-9493
Practice Fax:

1326576133 — ISMARY SANCHEZ ABREU
Practice Location Address:

2101 BRICKELL AVE APT 3303
MIAMI, FL
33129-2126

Practice Phone: 786-660-4637
Practice Fax:

1316446511 — DAYRANIS M ARECHAVALETA
Practice Location Address:

2126 NW 47TH TER
MIAMI, FL
33142-4021

Practice Phone: 305-764-8367
Practice Fax:

Directions to “ ELLIOTT ROBERTO BA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.