Isabella Barbagallo

Individual provider Active NPI Behavior Technician · Debary, FL

NPI 1124884697 · NPPES record last updated Feb 22, 2024

Key facts

NPI
1124884697
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
454 Fort Florida Rd
Debary, FL 32713-9714
Phone
(386) 968-2012
NPI assigned
Feb 22, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Ramon Hernandez Behavior Technician Current
since Feb 25, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

454 Fort Florida Rd
Debary, FL 32713-9714

Mailing address

3449 Medici Blvd
New Smyrna Beach, FL 32168-4609
Phone (631) 707-3893

Other providers in Debary, FL

All providers in Debary, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.