Individual
JUAN MIGUEL CORTADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7800 SW 57TH AVE STE 205, SOUTH MIAMI, FL 33143-5542
(305) 854-2471
Mailing address
7800 SW 85TH AVE, 205, SOUTH MIAMI, FL 33143-5542
(786) 260-3561
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
BACB1071283
FL
106S00000X
Behavior Technician
BACB1071283
FL
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
03/17/2022
Last updated
08/06/2024
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