Candido Fonseca Fundora
Assistant Behavior Analyst
4116 34th St Sw
Lehigh Acres
, Florida 33976-4104
Candido Fonseca Fundora
Assistant Behavior Analyst
4116 34th St Sw
Lehigh Acres
, Florida 33976-4104
(305) 967-8302
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About
Features
Specialties
- Assistant Behavior Analyst
Languages spoken
- English
Location
First Address
- Candido Fonseca Fundora
- 4116 34th St Sw
- Lehigh Acres, FL
- Zip : 33976-4104
- Fax : (305) 967-8302
- Phone : (305) 967-8074
Second Address
- Candido Fonseca Fundora
- 4116 34th St Sw
- Lehigh Acres, FL
- Zip : 33976-4104
- Fax : (305) 967-8302
- Phone : (305) 967-8074
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 0-17-8211 | FL |
National Provider Identifier
| NPI | 1083061741 |
|---|---|
| Provider Name | Candido Fonseca Fundora |
| First Address | Lehigh Acres, FL 33976-4104 |
| Second Address | Lehigh Acres, FL 33976-4104 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2016 |
| Last Update Date | 04/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.