Healthcare Provider Details

I. General information

NPI: 1295285633
Provider Name (Legal Business Name): BARBARA BELTRAN BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2016
Last Update Date: 01/15/2020
Certification Date: 01/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E COLONIAL DR
ORLANDO FL
32803
US

IV. Provider business mailing address

3214 HILLSDALE LN
KISSIMMEE FL
34741-7562
US

V. Phone/Fax

Practice location:
  • Phone: 407-218-4340
  • Fax: 407-218-4303
Mailing address:
  • Phone: 407-518-9161
  • Fax: 407-518-9942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-17-32706
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-19-38570
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: