Healthcare Provider Details

I. General information

NPI: 1457042707
Provider Name (Legal Business Name): JAEL ARANDA ARTIGAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2023
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3405 SOLUNA LOOP
NAPLES FL
34120-3994
US

IV. Provider business mailing address

27770 KELLY DR
BONITA SPRINGS FL
34135-5923
US

V. Phone/Fax

Practice location:
  • Phone: 786-449-0609
  • Fax:
Mailing address:
  • Phone: 786-449-0609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number23-273079
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: