Donovan J Canales, RBT
Individual provider Active NPI Behavior Technician · Fort Lauderdale, FL
NPI 1104537281 · NPPES record last updated Dec 8, 2022
Key facts
- NPI
- 1104537281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- C542170980620 (FL)
- Practice address
- 731 Arizona Ave
Fort Lauderdale, FL 33312-7319 - Phone
- (786) 431-9665
- NPI assigned
- Dec 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| C542170980620 | FL | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | C542170980620 | FL | Yes |
Addresses
Primary practice location
731 Arizona Ave
Fort Lauderdale, FL 33312-7319
Mailing address
731 Arizona Ave
Fort Lauderdale, FL 33312-7319
Phone (786) 431-9665
Other names
- Donovan J Canales
Other providers in Fort Lauderdale, FL
- Campo Valdes Algos, Inc.
- Fernando Campos
- Jessica P Camps
- Can Community Health Inc.
- Can Community Health, Inc.
- Melissa Jacqueline Canales
- Roger J Canales
- Juliette Candela
- Alix Andre Cange
- Kelly Lynn Caniglia
All providers in Fort Lauderdale, 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 Dec 8, 2022. 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.