MEDICARE: LIA STEPHANIE PORTELA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1033075486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIA STEPHANIE PORTELA

Provider Business Mailing Address
First Line	:	1402 NE 7TH PL
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33909-1341
Country	:	US
Telephone Number	:	786-676-3963
Fax Number	:

Provider Business Practice Location Address
First Line	:	1402 NE 7TH PL
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33909-1341
Country	:	US
Telephone Number	:	786-676-3963
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2025
Last Update Date	:	12/30/2025

Similar Medicare Providers

1396412524 — NICHOLAS LOUGHREN DC
Practice Location Address:

1341 NE 33RD ST
CAPE CORAL, FL
33909-3301

Practice Phone: 239-387-0777
Practice Fax:

1023884251 — STRIVE CHIROPRACTIC, LLC
Practice Location Address:

1341 NE 33RD ST
CAPE CORAL, FL
33909-3301

Practice Phone: 239-938-6010
Practice Fax:

1790024644 — MS. SUSAN BEVERLY KANE MSCCC-SLP
Practice Location Address:

316 SE 18TH AVE
CAPE CORAL, FL
33990-1341

Practice Phone: 828-989-0290
Practice Fax:

1295504769 — GRETER MARTINEZ DELGADO
Practice Location Address:

1922 SW 1ST ST
CAPE CORAL, FL
33991-1341

Practice Phone: 239-245-4585
Practice Fax:

1982884177 — JAMES ROBERT FATZ PHD, LMHC, LCPC
Practice Location Address:

1341 CORAL BERRY CT
YORKVILLE, IL
60560-9125

Practice Phone: 815-751-1097
Practice Fax:

1093093114 — ZETNIK G GARCIA MA
Practice Location Address:

1415 NE 2ND AVE
CAPE CORAL, FL
33909-1208

Practice Phone: 239-240-3565
Practice Fax:

Directions to “ LIA STEPHANIE PORTELA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.