Provider Demographics
NPI:1881137099
Name:AGUILAR, ELSA (BCABA)
Entity type:Individual
Prefix:
First Name:ELSA
Middle Name:
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9146 SW 215TH TER
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-3835
Mailing Address - Country:US
Mailing Address - Phone:786-252-7089
Mailing Address - Fax:
Practice Address - Street 1:18220 SW 97TH AVE
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-5502
Practice Address - Country:US
Practice Address - Phone:786-592-1574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst