Bianca De Oliveira

Individual provider Active NPI Behavior Technician · Fort Myers, FL

NPI 1720600232 · NPPES record last updated May 7, 2020

Key facts

NPI
1720600232
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-20-117036 (FL)
Practice address
6150 Diamond Centre CT BLDG 200
Fort Myers, FL 33912-4367
Phone
(239) 850-3679
NPI assigned
May 7, 2020
Sex
Female
Sole proprietor
No

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

State licenses

LicenseStateTypeSpecialty
RBT-20-117036FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren a. Lovell Inc Past
since May 10, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-117036 FL Yes

Addresses

Primary practice location

6150 Diamond Centre CT BLDG 200
Fort Myers, FL 33912-4367

Mailing address

1225 SW 34TH Ter
Cape Coral, FL 33914-5147

Other providers in Fort Myers, FL

All providers in Fort Myers, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.