Healthcare Provider Details

I. General information

NPI: 1790307643
Provider Name (Legal Business Name): MR. ANTHONY NICHOLAS BISCARDI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2020
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 W UNIVERSITY BLVD
MELBOURNE FL
32901-8995
US

IV. Provider business mailing address

708 GOODLETTE-FRANK RD N
NAPLES FL
34102-5644
US

V. Phone/Fax

Practice location:
  • Phone: 321-674-8106
  • Fax:
Mailing address:
  • Phone: 239-351-0675
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License NumberRBT-19-90472
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-79452
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-19-90472
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: