Individual
CESAR MIGUEL FUNDORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
4855 W HILLSBORO BLVD STE B12, COCONUT CREEK, FL 33073-4365
(754) 399-8507
Mailing address
11612 SW 13TH LN, PEMBROKE PINES, FL 33025-4824
(786) 402-9619
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-82853
FL
106E00000X
Assistant Behavior Analyst
0-24-15159
FL
Other
Enumeration date
10/17/2021
Last updated
07/22/2025
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