Healthcare Provider Details

I. General information

NPI: 1427947662
Provider Name (Legal Business Name): PRESTIGE BEHAVIORAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4947 TAMIAMI TRL N STE 201
NAPLES FL
34103-3014
US

IV. Provider business mailing address

2105 SW 20TH AVE
CAPE CORAL FL
33991-3514
US

V. Phone/Fax

Practice location:
  • Phone: 239-331-3783
  • Fax: 321-413-3808
Mailing address:
  • Phone: 239-789-0041
  • Fax: 321-413-3808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MRS. ARIANNA DANTA
Title or Position: CEO
Credential:
Phone: 239-789-0041