Shade Rose Cordero, MA, BCBA

Behavior Analyst · Lauderdale Lakes, FL

Individual Active NPI

NPI number 1104341114

Practice location

4620 N State Road 7 Ste 300
Lauderdale Lakes, FL 33319-5867
Phone
(561) 335-5681

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NPI record

NPI
1104341114
Entity type
Individual (Type 1)
Enumeration date
August 10, 2017
Last updated
June 29, 2023
Certified
June 29, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-21-56698 FL
Behavior Technician 106S00000X — —

Other practice locations (2)

  • 299 Loraine Dr Ste 1002, Altamonte Springs, FL 32714-3376 · (321) 972-1516
  • 411 N Donnelly St Ste 307, Mount Dora, FL 32757-5596 · (352) 720-5194

About Shade Cordero

Shade Rose Cordero, MA, BCBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 4620 N State Road 7 Ste 300, Lauderdale Lakes, FL 33319-5867. The NPI number 1104341114 was assigned on August 10, 2017 and the record was last updated on June 29, 2023.

Shade Cordero lists a license in the registry: #1-21-56698 (FL) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shade Rose Cordero, MA, BCBA?

The NPI number is 1104341114.

What is the phone number of Shade Cordero?

The phone number listed for the practice location is (561) 335-5681.

Where is Shade Cordero located?

4620 N State Road 7 Ste 300, Lauderdale Lakes, FL 33319-5867.

What is the taxonomy code for Shade Cordero?

The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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