Healthcare Provider Details

I. General information

NPI: 1265107411
Provider Name (Legal Business Name): CLAUDIA GARCIA ALFONSO BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2021
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 SE 14TH CT
CAPE CORAL FL
33990-1739
US

IV. Provider business mailing address

6 SE 14TH CT
CAPE CORAL FL
33990-1739
US

V. Phone/Fax

Practice location:
  • Phone: 305-790-4998
  • Fax:
Mailing address:
  • Phone: 305-790-4998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBCBA1-25-86109
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: