Healthcare Provider Details

I. General information

NPI: 1942038377
Provider Name (Legal Business Name): SUANNY ARCIA BCABA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2024
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13325 GREENPOINTE DR
ORLANDO FL
32824-6290
US

IV. Provider business mailing address

130 SANDALWOOD DR
KISSIMMEE FL
34743-8126
US

V. Phone/Fax

Practice location:
  • Phone: 321-746-2872
  • Fax:
Mailing address:
  • Phone: 321-746-2872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-26-2851090
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: