Adriana Alfonso Mena
Individual provider Active NPI Behavior Technician · Palm City, FL
NPI 1073365862 · NPPES record last updated Apr 4, 2024
Key facts
- NPI
- 1073365862
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-24-329296 (FL)
- Practice address
- 1532 SW Mapp Rd FL 34990
Palm City, FL 34990-2446 - Phone
- (772) 678-6704
- NPI assigned
- Apr 4, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-329296 | FL | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-329296 | FL | Yes |
Addresses
Primary practice location
1532 SW Mapp Rd FL 34990
Palm City, FL 34990-2446
Mailing address
1532 SW Mapp Rd FL 34990
Palm City, FL 34990-2446
Phone (772) 678-6704
Other providers in Palm City, FL
- Sheyla Afonso
- Jennifer A Agganis
- Gino Alberto Jr.
- Cristina Alekseyenko
- Makeda Alexander
- Ashley Marie Alfonso
- All About Kids Pediatrics, Inc
- Jedterria Allen
- Scott Gyles Allen
- Stephan Leonard Allen
All providers in Palm City, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.