MEDICARE: DIANABEL ANGULO GALLOSA

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	RBT-26-517258	FL

General Provider Information

NPI Number	:	1932053931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANABEL ANGULO GALLOSA

Provider Business Mailing Address
First Line	:	632 SE 2ND TER
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-0904
Country	:	US
Telephone Number	:	239-599-8182
Fax Number	:

Provider Business Practice Location Address
First Line	:	2804 DEL PRADO BLVD S # 209
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-7252
Country	:	US
Telephone Number	:	561-698-4051
Fax Number	:

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

Provider Enumeration Date	:	02/25/2026
Last Update Date	:	02/25/2026

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Directions to “ DIANABEL ANGULO GALLOSA ” Practice Location

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