Healthcare Provider Details

I. General information

NPI: 1982950895
Provider Name (Legal Business Name): ANNA KATHERINE CARAVELLO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2012
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9970 CENTRAL PARK BLVD N STE 401
BOCA RATON FL
33428-2252
US

IV. Provider business mailing address

5193 NW 65TH TER
CORAL SPRINGS FL
33067-2128
US

V. Phone/Fax

Practice location:
  • Phone: 855-444-5664
  • Fax:
Mailing address:
  • Phone: 727-418-3836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number0114195
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: