Holly Ann Algarin

Individual provider Active NPI Behavior Technician · Dundee, FL

NPI 1285315804 · NPPES record last updated Jun 13, 2024

Key facts

NPI
1285315804
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-23-296318 (FL)
Practice address
2202 Mandarin Loop
Dundee, FL 33838-4387
Phone
(833) 869-2423
Fax
(863) 869-6727
NPI assigned
Jul 27, 2023
Sex
Female
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

LicenseStateTypeSpecialty
RBT-23-296318FLMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-296318 FL Yes

Addresses

Primary practice location

2202 Mandarin Loop
Dundee, FL 33838-4387

Mailing address

539 Royal Ridge Dr
Davenport, FL 33837-7251
Phone (917) 841-7987

Other identifiers

IdentifierTypeStateIssuer
119139300MedicaidFL
RBT-23-296318OtherFLBACB

Other providers in Dundee, FL

All providers in Dundee, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.