Provider Demographics
NPI:1699580340
Name:ARGUELLO, ANIELKA M
Entity type:Individual
Prefix:
First Name:ANIELKA
Middle Name:M
Last Name:ARGUELLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8384 SW 154TH AVE APT 73
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-1270
Mailing Address - Country:US
Mailing Address - Phone:305-988-5232
Mailing Address - Fax:
Practice Address - Street 1:8384 SW 154TH AVE APT 73
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-1270
Practice Address - Country:US
Practice Address - Phone:305-988-5232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-323052103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty