Healthcare Provider Details

I. General information

NPI: 1396401683
Provider Name (Legal Business Name): NELSA BELLEFLEUR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2021
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date: 12/05/2021
Reactivation Date: 10/22/2025

III. Provider practice location address

2481 NW BOCA RATON BLVD
BOCA RATON FL
33431-6639
US

IV. Provider business mailing address

4878 SAND STONE LN APT 205
WEST PALM BEACH FL
33417-8035
US

V. Phone/Fax

Practice location:
  • Phone: 561-563-3758
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: