Healthcare Provider Details

I. General information

NPI: 1265388979
Provider Name (Legal Business Name): CARLOS ROLANDO CUNA RBT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

2912 SW 34TH AVE
OCALA FL
34474-3364
US

IV. Provider business mailing address

2912 SW 34TH AVE
OCALA FL
34474-3364
US

V. Phone/Fax

Practice location:
  • Phone: 956-454-8539
  • Fax: 352-387-9721
Mailing address:
  • Phone: 956-454-8539
  • Fax: 352-387-9721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-516525
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: