Healthcare Provider Details

I. General information

NPI: 1235711045
Provider Name (Legal Business Name): ISABELLA ALEXA AMARO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2021
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 ACCEPTANCE WAY
CLERMONT FL
34711
US

IV. Provider business mailing address

13201 SUGARBLUFF RD
CLERMONT FL
34715-6819
US

V. Phone/Fax

Practice location:
  • Phone: 352-223-1999
  • Fax:
Mailing address:
  • Phone: 352-223-1999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-21-162598
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: