MEDICARE: KARLA QUIJANO

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	106E00000X	Assistant Behavior Analyst	RBT-25-493939	FL

General Provider Information

NPI Number	:	1730750738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARLA QUIJANO

Provider Business Mailing Address
First Line	:	3171 FOREST BEND RD UNIT 303
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34746-2037
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	709 WALTHAM AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-4207
Country	:	US
Telephone Number	:	786-353-2900
Fax Number	:

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

Provider Enumeration Date	:	07/09/2021
Last Update Date	:	12/10/2025

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Directions to “ KARLA QUIJANO ” Practice Location

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