Healthcare Provider Details

I. General information

NPI: 1083562896
Provider Name (Legal Business Name): INSIGHTFUL BEHAVIORAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4645 SE 11TH PL STE 101A
CAPE CORAL FL
33904-9219
US

IV. Provider business mailing address

4645 SE 11TH PL STE 101A
CAPE CORAL FL
33904-9219
US

V. Phone/Fax

Practice location:
  • Phone: 561-236-0043
  • Fax:
Mailing address:
  • Phone: 561-236-0043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIAN RODRIGUEZ
Title or Position: OWNER/CEO
Credential:
Phone: 561-236-0043