MEDICARE: INSIGHTFUL BEHAVIORAL SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	106E00000X	Assistant Behavior Analyst
2	106S00000X	Behavior Technician
3	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1083562896
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSIGHTFUL BEHAVIORAL SERVICES INC

Provider Business Mailing Address
First Line	:	4645 SE 11TH PL STE 101A
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-9219
Country	:	US
Telephone Number	:	561-236-0043
Fax Number	:

Provider Business Practice Location Address
First Line	:	4645 SE 11TH PL STE 101A
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-9219
Country	:	US
Telephone Number	:	561-236-0043
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	CHRISTIAN RODRIGUEZ
Credential	:
Telephone Number	:	561-236-0043

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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