Michelle Ivette Fuentes Caraballo

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

02112276 Issued in FL

Practice address

2956 Kristin CT
Kissimmee, FL 34744-1562

Phone

(321) 437-8392

NPI assigned

Apr 23, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1417445792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977462",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2956 KRISTIN CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441562",
            "telephone_number": "321-437-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES CARABALLO",
        "first_name": "MICHELLE",
        "middle_name": "IVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "02112276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• FST Behavioral
• FST Behavioral
• Helmut Franz Fuchs, MD
• Reidaly Fuenmayor Chacin
• Leisy Iris Fuentes Cansino, RBT
• Argeny Fuentes
• Victoria R Fuentes
• Chiara Fuller, LCSW
• Lawrence P Fuller, OD
• Functional Physical Therapy

• Assistant Behavior Analyst in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Assistant Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.