Provider Demographics
NPI:1306579065
Name:ARGOTE, ADRIANA (RBT)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:
Last Name:ARGOTE
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 SANTA BARBARA BLVD
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33991-2068
Mailing Address - Country:US
Mailing Address - Phone:239-789-9145
Mailing Address - Fax:
Practice Address - Street 1:3 E CLERMONT CT
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33916-4721
Practice Address - Country:US
Practice Address - Phone:239-260-4218
Practice Address - Fax:239-900-1283
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-08
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL887946Medicaid