Healthcare Provider Details

I. General information

NPI: 1235841982
Provider Name (Legal Business Name): ANA RITA FALCON RBT-20-124760
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2022
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1417 SW 14TH TER
CAPE CORAL FL
33991-2999
US

IV. Provider business mailing address

1417 SW 14TH TER
CAPE CORAL FL
33991-2999
US

V. Phone/Fax

Practice location:
  • Phone: 786-897-9830
  • Fax:
Mailing address:
  • Phone: 786-897-9830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-20-124760
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: