MEDICARE: UP BEHAVIOR LLC

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	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508448804
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UP BEHAVIOR LLC

Provider Business Mailing Address
First Line	:	4417 SE 16TH PL STE 14
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-7471
Country	:	US
Telephone Number	:	239-306-4537
Fax Number	:

Provider Business Practice Location Address
First Line	:	4417 SE 16TH PL STE 14
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-7471
Country	:	US
Telephone Number	:	239-306-4537
Fax Number	:	239-799-7676

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CYNDIA ALFONSO
Credential	:
Telephone Number	:	786-678-5051

Provider Enumeration Date	:	04/26/2021
Last Update Date	:	08/29/2025

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Directions to “UP BEHAVIOR LLC ” Practice Location

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