Healthcare Provider Details

I. General information

NPI: 1194350363
Provider Name (Legal Business Name): LEONOR INES ALMEIDA BCBA-19-106774
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2020
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5231 BRISTO ST
LEHIGH ACRES FL
33971-6537
US

IV. Provider business mailing address

5231 BRISTO ST
LEHIGH ACRES FL
33971-6537
US

V. Phone/Fax

Practice location:
  • Phone: 239-878-0802
  • Fax:
Mailing address:
  • Phone: 239-878-0802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number19-106774
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-89915
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: