Healthcare Provider Details

I. General information

NPI: 1841137387
Provider Name (Legal Business Name): ADRIANA BADOSA MOREJON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 HOMESTEAD RD N STE 41
LEHIGH ACRES FL
33936-6600
US

IV. Provider business mailing address

706 JEFFERSON AVE
LEHIGH ACRES FL
33936-4354
US

V. Phone/Fax

Practice location:
  • Phone: 305-491-3494
  • Fax:
Mailing address:
  • Phone: 239-537-7088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-534382
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: