Healthcare Provider Details

I. General information

NPI: 1801431515
Provider Name (Legal Business Name): MARIA EUGENIA ARCAY ROSARIO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2019
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1416 SIMPSON RD
KISSIMMEE FL
34744-4600
US

IV. Provider business mailing address

1416 SIMPSON RD
KISSIMMEE FL
34744-4600
US

V. Phone/Fax

Practice location:
  • Phone: 321-947-8923
  • Fax: 407-307-2328
Mailing address:
  • Phone: 321-947-8923
  • Fax: 407-307-2328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: