Beatriz Leal Canelon, RBT
Behavior Technician in Fort Myers, FL. Individual provider (NPI-1).
NPI number1336745009
StatusActive
Last updated in NPPESDec 18, 2020
Details
- NPI
- 1336745009
- Entity type
- Individual (NPI-1)
- Name
- Beatriz Leal Canelon
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 8, 2020
- Certification date
- Dec 17, 2020
- Last updated
- Dec 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 20-144210 | FL | Yes |
Practice location
8359 Beacon Blvd Ste 416Fort Myers, FL 33907-3065
Phone 305-322-5069
Mailing address
8359 Beacon BlvdSuite 416
Fort Myers, FL 33907
Phone 305-322-5069
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