Healthcare Provider Details

I. General information

NPI: 1114377090
Provider Name (Legal Business Name): MARIAN APONTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2016
Last Update Date: 06/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4417 E COLONIAL DR
ORLANDO FL
32803
US

IV. Provider business mailing address

1906 REEF CLUB DR APT 208
KISSIMME FL
34741
US

V. Phone/Fax

Practice location:
  • Phone: 407-757-0785
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: