Healthcare Provider Details

I. General information

NPI: 1124982012
Provider Name (Legal Business Name): ANA BETSABE FOLGAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4683 ORLEANS CT APT B
WEST PALM BEACH FL
33415-8838
US

IV. Provider business mailing address

4683 ORLEANS CT APT B
WEST PALM BEACH FL
33415-8838
US

V. Phone/Fax

Practice location:
  • Phone: 754-249-0839
  • Fax:
Mailing address:
  • Phone: 754-249-0839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-495419
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: