Healthcare Provider Details

I. General information

NPI: 1235572884
Provider Name (Legal Business Name): MARIA TERESA PUENTES LMHC;BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2013
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

498 PALM SPRINGS DR # 100-113
ALTAMONTE SPRINGS FL
32701-7829
US

IV. Provider business mailing address

369 KINGSLEY DR
CASSELBERRY FL
32707-4527
US

V. Phone/Fax

Practice location:
  • Phone: 786-274-3549
  • Fax: 407-960-2634
Mailing address:
  • Phone: 786-274-3549
  • Fax: 407-960-2634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBCBA-1-21-56305
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH13032
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: