Healthcare Provider Details

I. General information

NPI: 1871277913
Provider Name (Legal Business Name): NAITE MILANES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2023
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15275 COLLIER BLVD STE 201-447
NAPLES FL
34119-6750
US

IV. Provider business mailing address

15275 COLLIER BLVD STE 201-447
NAPLES FL
34119-6750
US

V. Phone/Fax

Practice location:
  • Phone: 239-371-7815
  • Fax: 239-299-0157
Mailing address:
  • Phone: 239-371-7815
  • Fax: 239-299-0157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-23-295988
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: