Healthcare Provider Details

I. General information

NPI: 1144588914
Provider Name (Legal Business Name): ADAM IGLESIAS PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2012
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 PGA BLVD STE 230
PALM BEACH GARDENS FL
33410-3515
US

IV. Provider business mailing address

2401 PGA BLVD STE 230
PALM BEACH GARDENS FL
33410-3515
US

V. Phone/Fax

Practice location:
  • Phone: 561-758-1704
  • Fax:
Mailing address:
  • Phone: 561-758-1704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberPY8522
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY8522
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: