MEDICARE: SOLBET SANCHEZ BRICENO BCBA

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	1-24-71958	FL

General Provider Information

NPI Number	:	1639763915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOLBET SANCHEZ BRICENO BCBA

Provider Business Mailing Address
First Line	:	7688 RIPPLEPOINTE WAY
Second Line	:
City	:	WINDERMERE
State	:	FL
Zip	:	34786-5721
Country	:	US
Telephone Number	:	407-502-9924
Fax Number	:

Provider Business Practice Location Address
First Line	:	4271 NEPTUNE RD
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34769-6744
Country	:	US
Telephone Number	:	407-490-2637
Fax Number	:

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

Provider Enumeration Date	:	02/26/2021
Last Update Date	:	05/02/2025

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