Provider Demographics
NPI:1972896603
Name:AGUILAR, LOURDES CRISTINA (BCBA)
Entity type:Individual
Prefix:
First Name:LOURDES
Middle Name:CRISTINA
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5961 SW 68TH ST APT 714
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-3557
Mailing Address - Country:US
Mailing Address - Phone:786-269-9254
Mailing Address - Fax:
Practice Address - Street 1:5961 SW 68TH ST APT 714
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-3557
Practice Address - Country:US
Practice Address - Phone:786-269-9254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-27
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty