MEDICARE: CLAUDIA LOFORTE ALFONSO

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

General Provider Information

NPI Number	:	1992512917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA LOFORTE ALFONSO

Provider Business Mailing Address
First Line	:	5369 HAWKS LANDING DR APT 208
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-6668
Country	:	US
Telephone Number	:	239-362-7811
Fax Number	:

Provider Business Practice Location Address
First Line	:	43 BARKLEY CIR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-4510
Country	:	US
Telephone Number	:	239-839-0323
Fax Number	:

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

Provider Enumeration Date	:	12/12/2024
Last Update Date	:	12/12/2024

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Directions to “ CLAUDIA LOFORTE ALFONSO ” Practice Location

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